Provider Demographics
NPI:1912181157
Name:FLAX, JANE (PHD)
Entity Type:Individual
Prefix:DR
First Name:JANE
Middle Name:
Last Name:FLAX
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 1:2129 FLORIDA A VEUE NW
Mailing Address - Street 2:504
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20008-1911
Mailing Address - Country:US
Mailing Address - Phone:202-332-9281
Mailing Address - Fax:202-332-4731
Practice Address - Street 1:2129 FLORIDA A VENUE NW
Practice Address - Street 2:504
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20008-1911
Practice Address - Country:US
Practice Address - Phone:202-332-9281
Practice Address - Fax:202-332-4731
Is Sole Proprietor?:Yes
Enumeration Date:2007-12-24
Last Update Date:2007-12-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes102L00000XBehavioral Health & Social Service ProvidersPsychoanalyst