Provider Demographics
NPI:1912086729
Name:STEDMAN, JANET BARBARA (PHD)
Entity Type:Individual
Prefix:DR
First Name:JANET
Middle Name:BARBARA
Last Name:STEDMAN
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 1:8000 5 MILE RD
Mailing Address - Street 2:SUITE 215
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45230-2163
Mailing Address - Country:US
Mailing Address - Phone:513-624-0300
Mailing Address - Fax:513-624-9081
Practice Address - Street 1:8000 5 MILE RD
Practice Address - Street 2:SUITE 215
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45230-2163
Practice Address - Country:US
Practice Address - Phone:513-624-0300
Practice Address - Fax:513-624-9081
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH3601103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0600120Medicaid
OHSTCP12601Medicare ID - Type Unspecified
OHR71999Medicare UPIN