Doctor Name: | MS. ROSEANNE MCKINNON |
NPI Number: | 1023126356 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | R0316121 |
Business Practice Address: | 200 Cornwall Bridge Rd Sharon, CT - 06069 |
Business Phone Number: | 8603640665 |
Business Fax Number: | 8603640665 |
Mailing Address: | 200 Cornwall Bridge Rd, SHARON |
State: | CT |
Postal Code: | 06069 |
Phone Number: | 8603640665 |
Fax Number: | 8603640665 |
NPI Enumeration Date: | 08/28/2006 |
NPI Last Update Date: | 05/13/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | R0316121 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | NY |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |