Doctor Name: | MARIE SARAH RUNDO |
NPI Number: | 1013073139 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LICSW |
License Number: | 106661 |
Business Practice Address: | 185 Lincoln St #210 Hingham, MA - 020431760 |
Business Phone Number: | 7817492089 |
Business Fax Number: | 7817490628 |
Mailing Address: | 185 Lincoln St, #210 HINGHAM |
State: | MA |
Postal Code: | 020431760 |
Phone Number: | 7817492089 |
Fax Number: | 7817490628 |
NPI Enumeration Date: | 01/01/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 106661 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |