Provider Demographics
NPI:1053540633
Name:DREW, JANA BRITTAIN (PHD)
Entity type:Individual
Prefix:DR
First Name:JANA
Middle Name:BRITTAIN
Last Name:DREW
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 1:218 PARKHURST TER
Mailing Address - Street 2:
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63119-3631
Mailing Address - Country:US
Mailing Address - Phone:512-289-5892
Mailing Address - Fax:
Practice Address - Street 1:218 PARKHURST TER
Practice Address - Street 2:
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63119-3631
Practice Address - Country:US
Practice Address - Phone:512-289-5892
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-07-05
Last Update Date:2023-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2020029141103TC0700X
TX36970103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical