Provider Demographics
NPI:1407572324
Name:CARLIN, JANICE (PHD, CHHP)
Entity Type:Individual
Prefix:
First Name:JANICE
Middle Name:
Last Name:CARLIN
Suffix:
Gender:F
Credentials:PHD, CHHP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3816 PEBBLE CT
Mailing Address - Street 2:
Mailing Address - City:PALM HARBOR
Mailing Address - State:FL
Mailing Address - Zip Code:34684-4147
Mailing Address - Country:US
Mailing Address - Phone:512-466-7263
Mailing Address - Fax:
Practice Address - Street 1:3816 PEBBLE CT
Practice Address - Street 2:
Practice Address - City:PALM HARBOR
Practice Address - State:FL
Practice Address - Zip Code:34684-4147
Practice Address - Country:US
Practice Address - Phone:512-466-7263
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-10-12
Last Update Date:2022-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133N00000XDietary & Nutritional Service ProvidersNutritionist
No171400000XOther Service ProvidersHealth & Wellness Coach