Healthcare Provider Details

I. General information

NPI: 1861310765
Provider Name (Legal Business Name): JANET SUE AUSTIN PHD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/08/2026
Last Update Date: 07/08/2026
Certification Date: 07/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

434 CENTERVILLE ST NE
DENHAM SPRINGS LA
70726-3508
US

IV. Provider business mailing address

434 CENTERVILLE ST NE
DENHAM SPRINGS LA
70726-3508
US

V. Phone/Fax

Practice location:
  • Phone: 225-802-5452
  • Fax:
Mailing address:
  • Phone: 225-802-5452
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number696
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: