Provider Demographics
NPI:1215039060
Name:MELTZER, JANET ROSE (PHD)
Entity Type:Individual
Prefix:DR
First Name:JANET
Middle Name:ROSE
Last Name:MELTZER
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:663 ULVERSTON DR
Mailing Address - Street 2:
Mailing Address - City:GAHANNA
Mailing Address - State:OH
Mailing Address - Zip Code:43230-3890
Mailing Address - Country:US
Mailing Address - Phone:614-855-4364
Mailing Address - Fax:
Practice Address - Street 1:73 MILL ST
Practice Address - Street 2:SUITE A
Practice Address - City:GAHANNA
Practice Address - State:OH
Practice Address - Zip Code:43230-3080
Practice Address - Country:US
Practice Address - Phone:614-478-9309
Practice Address - Fax:614-478-9323
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH4098103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical