Provider Demographics
NPI:1659442705
Name:THATCHER-DAVIDS, JANET ANN (PHD)
Entity Type:Individual
Prefix:DR
First Name:JANET
Middle Name:ANN
Last Name:THATCHER-DAVIDS
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:DR
Other - First Name:JANET
Other - Middle Name:ANN
Other - Last Name:THATCHER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHD
Mailing Address - Street 1:74 WOODSTONE WAY
Mailing Address - Street 2:
Mailing Address - City:CANTON
Mailing Address - State:NC
Mailing Address - Zip Code:28716-7102
Mailing Address - Country:US
Mailing Address - Phone:828-648-5049
Mailing Address - Fax:
Practice Address - Street 1:74 WOODSTONE WAY
Practice Address - Street 2:
Practice Address - City:CANTON
Practice Address - State:NC
Practice Address - Zip Code:28716-7102
Practice Address - Country:US
Practice Address - Phone:828-648-5049
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC3232103TC1900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounseling