Provider Demographics
NPI:1881016046
Name:CUMMING, JANICE (PHD)
Entity Type:Individual
Prefix:DR
First Name:JANICE
Middle Name:
Last Name:CUMMING
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 1:5835 COLLEGE AVE
Mailing Address - Street 2:SUITE C
Mailing Address - City:OAKLAND
Mailing Address - State:CA
Mailing Address - Zip Code:94618-1653
Mailing Address - Country:US
Mailing Address - Phone:510-601-8222
Mailing Address - Fax:
Practice Address - Street 1:5835 COLLEGE AVE
Practice Address - Street 2:SUITE C
Practice Address - City:OAKLAND
Practice Address - State:CA
Practice Address - Zip Code:94618-1653
Practice Address - Country:US
Practice Address - Phone:510-601-8222
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-01-07
Last Update Date:2014-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPSY9735103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist