Provider Demographics
NPI:1437398328
Name:RARIG, JANET KAY (PSY D)
Entity type:Individual
Prefix:DR
First Name:JANET
Middle Name:KAY
Last Name:RARIG
Suffix:
Gender:F
Credentials:PSY D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:155 RINGTOWN MOUNTAIN RD
Mailing Address - Street 2:
Mailing Address - City:CATAWISSA
Mailing Address - State:PA
Mailing Address - Zip Code:17820-8642
Mailing Address - Country:US
Mailing Address - Phone:570-799-0364
Mailing Address - Fax:
Practice Address - Street 1:155 RINGTOWN MOUNTAIN RD
Practice Address - Street 2:
Practice Address - City:CATAWISSA
Practice Address - State:PA
Practice Address - Zip Code:17820-8642
Practice Address - Country:US
Practice Address - Phone:570-799-0364
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-02-17
Last Update Date:2009-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPS 005681103TC0700X, 103TC2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
No103TC2200XBehavioral Health & Social Service ProvidersPsychologistClinical Child & Adolescent