Provider Demographics
NPI:1487681763
Name:LIMPERIS, JANET LYNN (PSYD)
Entity Type:Individual
Prefix:DR
First Name:JANET
Middle Name:LYNN
Last Name:LIMPERIS
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2001 NE 48TH CT
Mailing Address - Street 2:SUITE 2
Mailing Address - City:FORT LAUDERDALE
Mailing Address - State:FL
Mailing Address - Zip Code:33308-4512
Mailing Address - Country:US
Mailing Address - Phone:954-609-6857
Mailing Address - Fax:954-772-0891
Practice Address - Street 1:2001 NE 48TH CT
Practice Address - Street 2:SUITE 2
Practice Address - City:FORT LAUDERDALE
Practice Address - State:FL
Practice Address - Zip Code:33308-4512
Practice Address - Country:US
Practice Address - Phone:954-609-6857
Practice Address - Fax:954-772-0891
Is Sole Proprietor?:No
Enumeration Date:2006-06-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPY6611103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL73112OtherBLUE CROSS/BLUE SHIELD NP
FLU1732ZMedicare ID - Type Unspecified
FL73112OtherBLUE CROSS/BLUE SHIELD NP