Doctor Name: | MS. JILL ANN JOHNSON BARDSLEY |
NPI Number: | 1023230026 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.S.W. |
License Number: | 59 |
Business Practice Address: | 12 Pepin Drive Bow, NH - 033044418 |
Business Phone Number: | 6037486103 |
Business Fax Number: | 6032255757 |
Mailing Address: | 12 Pepin Drive, BOW |
State: | NH |
Postal Code: | 033044418 |
Phone Number: | 6037486103 |
Fax Number: | 6032255757 |
NPI Enumeration Date: | 05/02/2007 |
NPI Last Update Date: | 09/21/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 59 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NH |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |