Basic Information
| Provider Information | |||||||||
| NPI: | 1871576454 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | ULM | ||||||||
| FirstName: | JANET | ||||||||
| MiddleName: | E. | ||||||||
| NamePrefix: | MS. | ||||||||
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| Credential: | MSSW, CGC, LGC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 902 MCCALLIE AVE | ||||||||
| Address2: | |||||||||
| City: | CHATTANOOGA | ||||||||
| State: | TN | ||||||||
| PostalCode: | 374032724 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4236644460 | ||||||||
| FaxNumber: | 4236480957 | ||||||||
| Practice Location | |||||||||
| Address1: | 902 MCCALLIE AVE | ||||||||
| Address2: | |||||||||
| City: | CHATTANOOGA | ||||||||
| State: | TN | ||||||||
| PostalCode: | 374032724 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4236644460 | ||||||||
| FaxNumber: | 4236480957 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 11/28/2005 | ||||||||
| LastUpdateDate: | 03/06/2012 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 170300000X | Y | Other Service Providers | Genetic Counselor, MS |
No ID Information.