Healthcare Provider Details

I. General information

NPI: 1548592116
Provider Name (Legal Business Name): JANET S. EDGETTE, PSY.D. LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/08/2010
Last Update Date: 02/08/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

660 EXTON CMNS
EXTON PA
19341-2446
US

IV. Provider business mailing address

660 EXTON CMNS
EXTON PA
19341-2446
US

V. Phone/Fax

Practice location:
  • Phone: 610-363-8717
  • Fax: 610-430-8307
Mailing address:
  • Phone: 610-363-8717
  • Fax: 610-430-8307

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number
License Number State

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name: DR. JANET S EDGETTE
Title or Position: OWNER
Credential: PSY.D.
Phone: 610-363-8717