Provider Demographics
NPI:1215036892
Name:CERRA, JANET KAY (LMHC)
Entity Type:Individual
Prefix:MS
First Name:JANET
Middle Name:KAY
Last Name:CERRA
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:47 SILENT MEADOW LN
Mailing Address - Street 2:
Mailing Address - City:ORCHARD PARK
Mailing Address - State:NY
Mailing Address - Zip Code:14127-2043
Mailing Address - Country:US
Mailing Address - Phone:716-667-3784
Mailing Address - Fax:716-667-3783
Practice Address - Street 1:47 SILENT MEADOW LN
Practice Address - Street 2:
Practice Address - City:ORCHARD PARK
Practice Address - State:NY
Practice Address - Zip Code:14127-2043
Practice Address - Country:US
Practice Address - Phone:716-667-3784
Practice Address - Fax:716-667-3783
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY001587101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health