Provider Demographics
NPI:1265848444
Name:FRATANTONI, JANET CHAO (EDD)
Entity Type:Individual
Prefix:MS
First Name:JANET
Middle Name:CHAO
Last Name:FRATANTONI
Suffix:
Gender:F
Credentials:EDD
Other - Prefix:DR
Other - First Name:JANET
Other - Middle Name:
Other - Last Name:CHAO
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:EDD
Mailing Address - Street 1:4848 E CACTUS RD
Mailing Address - Street 2:SUITE 940
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85254-4163
Mailing Address - Country:US
Mailing Address - Phone:480-443-0050
Mailing Address - Fax:480-443-4018
Practice Address - Street 1:4848 E CACTUS RD
Practice Address - Street 2:SUITE 940
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85254-4163
Practice Address - Country:US
Practice Address - Phone:480-443-0050
Practice Address - Fax:480-443-4018
Is Sole Proprietor?:No
Enumeration Date:2014-07-08
Last Update Date:2014-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ1316103TC2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC2200XBehavioral Health & Social Service ProvidersPsychologistClinical Child & Adolescent