Provider Demographics
NPI:1811181480
Name:DEAN, JANET BLEVINS (PHD)
Entity type:Individual
Prefix:
First Name:JANET
Middle Name:BLEVINS
Last Name:DEAN
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 1:1 MACKLEM DRIVE
Mailing Address - Street 2:ASBURY COLLEGE; THE CENTER FOR COUNSELING
Mailing Address - City:WILMORE
Mailing Address - State:KY
Mailing Address - Zip Code:40390
Mailing Address - Country:US
Mailing Address - Phone:859-858-3850
Mailing Address - Fax:
Practice Address - Street 1:1 MACKLEM DRIVE
Practice Address - Street 2:ASBURY COLLEGE; THE CENTER FOR COUNSELING
Practice Address - City:WILMORE
Practice Address - State:KY
Practice Address - Zip Code:40390
Practice Address - Country:US
Practice Address - Phone:859-858-3850
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-08-28
Last Update Date:2007-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY1359103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical