MEDICARE: DR. JANE FLAX PH.D

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	102L00000X	Psychoanalyst

General Provider Information

NPI Number	:	1912181157
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JANE FLAX PH.D

Provider Business Mailing Address
First Line	:	2129 FLORIDA A VEUE NW
Second Line	:	504
City	:	WASHINGTON
State	:	DC
Zip	:	20008-1911
Country	:	US
Telephone Number	:	202-332-9281
Fax Number	:	202-332-4731

Provider Business Practice Location Address
First Line	:	2129 FLORIDA A VENUE NW
Second Line	:	504
City	:	WASHINGTON
State	:	DC
Zip	:	20008-1911
Country	:	US
Telephone Number	:	202-332-9281
Fax Number	:	202-332-4731

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/24/2007
Last Update Date	:	12/24/2007

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