| Doctor Name: | DR. SCOTT JANKE |
| NPI Number: | 1053536946 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PSY.D. |
| License Number: | 31419 |
| Business Practice Address: | 215 W San Antonio St Suite 2101 San Marcos, TX - 786665549 |
| Business Phone Number: | 5126656586 |
| Business Fax Number: | 5123530540 |
| Mailing Address: | 215 W San Antonio St, Suite 2101 SAN MARCOS |
| State: | TX |
| Postal Code: | 786665549 |
| Phone Number: | 5126656586 |
| Fax Number: | 5123530540 |
| NPI Enumeration Date: | 04/16/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | 31419 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TX |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |