Provider Demographics
NPI:1326283425
Name:DYMENT, JANIE E (MA, MS)
Entity Type:Individual
Prefix:MS
First Name:JANIE
Middle Name:E
Last Name:DYMENT
Suffix:
Gender:F
Credentials:MA, MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:19 LUDLOW RD
Mailing Address - Street 2:SUITE 202
Mailing Address - City:WESTPORT
Mailing Address - State:CT
Mailing Address - Zip Code:06880-3040
Mailing Address - Country:US
Mailing Address - Phone:203-227-3383
Mailing Address - Fax:
Practice Address - Street 1:19 LUDLOW RD
Practice Address - Street 2:SUITE 202
Practice Address - City:WESTPORT
Practice Address - State:CT
Practice Address - Zip Code:06880-3040
Practice Address - Country:US
Practice Address - Phone:203-227-3383
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-12-04
Last Update Date:2008-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT065- SPECIAL EDUCATI103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst