Provider Demographics
NPI:1427418581
Name:ECKART, JANET ALEXIS (PHD)
Entity Type:Individual
Prefix:
First Name:JANET
Middle Name:ALEXIS
Last Name:ECKART
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 1:849 E STANLEY BLVD
Mailing Address - Street 2:SUITE 465
Mailing Address - City:LIVERMORE
Mailing Address - State:CA
Mailing Address - Zip Code:94550-4008
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:8 CROW CANYON CT
Practice Address - Street 2:SUITE 110
Practice Address - City:SAN RAMON
Practice Address - State:CA
Practice Address - Zip Code:94583-1971
Practice Address - Country:US
Practice Address - Phone:925-831-2144
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-03-02
Last Update Date:2016-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPSY 27867103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical