Provider Demographics
NPI:1184596264
Name:STANLEY, JANET S (MS CLINICAL PSYCHO)
Entity type:Individual
Prefix:
First Name:JANET
Middle Name:S
Last Name:STANLEY
Suffix:
Gender:F
Credentials:MS CLINICAL PSYCHO
Other - Prefix:
Other - First Name:JANET
Other - Middle Name:S
Other - Last Name:KEYSER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS CLINICAL PSYCHO
Mailing Address - Street 1:904 CHURCH RD
Mailing Address - Street 2:
Mailing Address - City:WYNCOTE
Mailing Address - State:PA
Mailing Address - Zip Code:19095
Mailing Address - Country:US
Mailing Address - Phone:215-887-3299
Mailing Address - Fax:
Practice Address - Street 1:904 CHURCH RD
Practice Address - Street 2:
Practice Address - City:WYNCOTE
Practice Address - State:PA
Practice Address - Zip Code:19095
Practice Address - Country:US
Practice Address - Phone:215-887-3299
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-09-19
Last Update Date:2025-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPS006971L103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist