Provider Demographics
NPI:1750713210
Name:MCALPINE, JANET IRENE (MALLP)
Entity type:Individual
Prefix:MS
First Name:JANET
Middle Name:IRENE
Last Name:MCALPINE
Suffix:
Gender:F
Credentials:MALLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:21650 BEHRENDT AVE
Mailing Address - Street 2:
Mailing Address - City:WARREN
Mailing Address - State:MI
Mailing Address - Zip Code:48091-2781
Mailing Address - Country:US
Mailing Address - Phone:586-764-9916
Mailing Address - Fax:
Practice Address - Street 1:21650 BEHRENDT AVE
Practice Address - Street 2:
Practice Address - City:WARREN
Practice Address - State:MI
Practice Address - Zip Code:48091-2781
Practice Address - Country:US
Practice Address - Phone:586-764-9916
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-08-06
Last Update Date:2013-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6301010211103TM1800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TM1800XBehavioral Health & Social Service ProvidersPsychologistIntellectual & Developmental Disabilities