Provider Demographics
NPI:1871167395
Name:MAYEUX, JANINA (PHD)
Entity type:Individual
Prefix:DR
First Name:JANINA
Middle Name:
Last Name:MAYEUX
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:537 VILLARIDGE DR
Mailing Address - Street 2:
Mailing Address - City:BATON ROUGE
Mailing Address - State:LA
Mailing Address - Zip Code:70810-7335
Mailing Address - Country:US
Mailing Address - Phone:225-324-0511
Mailing Address - Fax:
Practice Address - Street 1:2214 QUAIL RUN
Practice Address - Street 2:
Practice Address - City:BATON ROUGE
Practice Address - State:LA
Practice Address - Zip Code:70808-4128
Practice Address - Country:US
Practice Address - Phone:225-435-7631
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-05-19
Last Update Date:2021-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA1458103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical