Doctor Name: | MS. HERMANETT DOUGLAS |
NPI Number: | 1013225416 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MSW INTERN |
License Number: | |
Business Practice Address: | 66 Troy St Fall River, MA - 027203023 |
Business Phone Number: | 5086765708 |
Business Fax Number: | |
Mailing Address: | 66 Troy St, FALL RIVER |
State: | MA |
Postal Code: | 027203023 |
Phone Number: | 5086765708 |
Fax Number: | |
NPI Enumeration Date: | 09/20/2010 |
NPI Last Update Date: | 04/27/2011 |
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: |