Provider Demographics
NPI:1447984620
Name:BAGLIA, JANET N
Entity type:Individual
Prefix:
First Name:JANET
Middle Name:N
Last Name:BAGLIA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5132 GABLE RIDGE LN
Mailing Address - Street 2:
Mailing Address - City:HOLLY SPRINGS
Mailing Address - State:NC
Mailing Address - Zip Code:27540-9304
Mailing Address - Country:US
Mailing Address - Phone:724-992-0397
Mailing Address - Fax:
Practice Address - Street 1:5132 GABLE RIDGE LN
Practice Address - Street 2:
Practice Address - City:HOLLY SPRINGS
Practice Address - State:NC
Practice Address - Zip Code:27540-9304
Practice Address - Country:US
Practice Address - Phone:724-992-0397
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-07-13
Last Update Date:2022-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TS0200XBehavioral Health & Social Service ProvidersPsychologistSchool