Provider Demographics
NPI:1366676827
Name:NADLER, JANET SUE (MFT)
Entity Type:Individual
Prefix:MS
First Name:JANET
Middle Name:SUE
Last Name:NADLER
Suffix:
Gender:F
Credentials:MFT
Other - Prefix:MS
Other - First Name:JANET
Other - Middle Name:SUE
Other - Last Name:NADDOR
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MFT
Mailing Address - Street 1:30021 TOMAS SUITE 300
Mailing Address - Street 2:
Mailing Address - City:RANCHO SANTA MARGARITA
Mailing Address - State:CA
Mailing Address - Zip Code:92688
Mailing Address - Country:US
Mailing Address - Phone:949-888-5110
Mailing Address - Fax:949-861-9381
Practice Address - Street 1:30021 TOMAS STE 300
Practice Address - Street 2:
Practice Address - City:RANCHO SANTA MARGARITA
Practice Address - State:CA
Practice Address - Zip Code:92688-2128
Practice Address - Country:US
Practice Address - Phone:949-888-5110
Practice Address - Fax:949-861-9381
Is Sole Proprietor?:Yes
Enumeration Date:2009-05-12
Last Update Date:2009-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMF30068106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist