Provider Demographics
NPI:1780972307
Name:PALMERSTON, JANET KAY (PHD)
Entity type:Individual
Prefix:DR
First Name:JANET
Middle Name:KAY
Last Name:PALMERSTON
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:DR
Other - First Name:JANET
Other - Middle Name:KAY
Other - Last Name:KIRSCH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHD
Mailing Address - Street 1:106 LAKEVIEW CT
Mailing Address - Street 2:
Mailing Address - City:SAVANNAH
Mailing Address - State:GA
Mailing Address - Zip Code:31406-6353
Mailing Address - Country:US
Mailing Address - Phone:770-355-1832
Mailing Address - Fax:
Practice Address - Street 1:106 LAKEVIEW CT
Practice Address - Street 2:
Practice Address - City:SAVANNAH
Practice Address - State:GA
Practice Address - Zip Code:31406-6353
Practice Address - Country:US
Practice Address - Phone:770-355-1832
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-07-17
Last Update Date:2019-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAPSY003480103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist