Provider Demographics
NPI:1811506884
Name:JANET J. TRYCHIN
Entity type:Organization
Organization Name:JANET J. TRYCHIN
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:JANET
Authorized Official - Middle Name:
Authorized Official - Last Name:TRYCHIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:814-897-1194
Mailing Address - Street 1:212 CAMBRIDGE RD
Mailing Address - Street 2:
Mailing Address - City:ERIE
Mailing Address - State:PA
Mailing Address - Zip Code:16511-1504
Mailing Address - Country:US
Mailing Address - Phone:814-897-1194
Mailing Address - Fax:
Practice Address - Street 1:212 CAMBRIDGE RD
Practice Address - Street 2:
Practice Address - City:ERIE
Practice Address - State:PA
Practice Address - Zip Code:16511-1504
Practice Address - Country:US
Practice Address - Phone:814-897-1194
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-07-27
Last Update Date:2020-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes252Y00000XAgenciesEarly Intervention Provider Agency
No2080P0006XAllopathic & Osteopathic PhysiciansPediatricsDevelopmental - Behavioral PediatricsGroup - Multi-Specialty