Doctor Name: | MRS. ELIZABETH M VANNESS |
NPI Number: | 1013223080 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | R.N., M.A., LPC |
License Number: | |
Business Practice Address: | 320 W. Hanover Avenue Parsippany, NJ - 07054 |
Business Phone Number: | 9735395624 |
Business Fax Number: | |
Mailing Address: | 80 W Main St, MENDHAM |
State: | NJ |
Postal Code: | 079451257 |
Phone Number: | 9735435656 |
Fax Number: | |
NPI Enumeration Date: | 08/27/2010 |
NPI Last Update Date: | 08/27/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |