Pettis-Ingram, Janice M

Pettis-Ingram, Janice M is an sole proprietor health care provider with primary practice located at 5201 S Westmoreland Rd , Dallas TX 75237-1622. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Pettis-Ingram, Janice M can be contacted via phone (214) 339-2047.

Contact Information

Primary practice address
5201 S Westmoreland Rd Dallas TX 75237-1622
Phone: (214) 339-2047
Fax: (214) 339-2049
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 10714 Texas

Profile Details

NPI number 1891776829
LBN Legal business name Pettis-Ingram, Janice M
Credentials ED.D, LLC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 8th, 2005
Last updated Jul 8th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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