Doctor Name: | MS. MARJORIE ROSS |
NPI Number: | 1003973017 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | MA014336 |
Business Practice Address: | 100 King St Suite 303 Northampton, MA - 010603243 |
Business Phone Number: | 4135855959 |
Business Fax Number: | 4135855959 |
Mailing Address: | 100 King St, Suite 303 NORTHAMPTON |
State: | MA |
Postal Code: | 010603243 |
Phone Number: | 4135855959 |
Fax Number: | 4135855959 |
NPI Enumeration Date: | 01/02/2007 |
NPI Last Update Date: | 07/09/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | MA014336 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |