Provider Demographics
NPI:1487620142
Name:HOWARD, JANET WEIDENBACH (MA)
Entity type:Individual
Prefix:MS
First Name:JANET
Middle Name:WEIDENBACH
Last Name:HOWARD
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1700 YGNACIO VALLEY RD
Mailing Address - Street 2:
Mailing Address - City:WALNUT CREEK
Mailing Address - State:CA
Mailing Address - Zip Code:94598-3126
Mailing Address - Country:US
Mailing Address - Phone:925-945-2486
Mailing Address - Fax:925-935-4777
Practice Address - Street 1:1700 YGNACIO VALLEY RD
Practice Address - Street 2:SUITE 200
Practice Address - City:WALNUT CREEK
Practice Address - State:CA
Practice Address - Zip Code:94598-3191
Practice Address - Country:US
Practice Address - Phone:925-945-2486
Practice Address - Fax:925-935-4777
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-02-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC13990101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health