Provider Demographics
NPI:1851493365
Name:HOSTETLER, JANET (MED)
Entity Type:Individual
Prefix:MS
First Name:JANET
Middle Name:
Last Name:HOSTETLER
Suffix:
Gender:F
Credentials:MED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3450 NORTHLAKE BLVD
Mailing Address - Street 2:SUITE 212
Mailing Address - City:PALM BEACH GARDENS
Mailing Address - State:FL
Mailing Address - Zip Code:33403-1707
Mailing Address - Country:US
Mailing Address - Phone:561-624-8819
Mailing Address - Fax:561-627-1788
Practice Address - Street 1:3450 NORTHLAKE BLVD
Practice Address - Street 2:SUITE 212
Practice Address - City:PALM BEACH GARDENS
Practice Address - State:FL
Practice Address - Zip Code:33403-1707
Practice Address - Country:US
Practice Address - Phone:561-624-8819
Practice Address - Fax:561-627-1788
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL1006101YA0400X
FLMH0001572101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
Not Answered101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health