Doctor Name: | FELIPE DURAND |
NPI Number: | 1023240413 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | LICSW |
License Number: | 118349 |
Business Practice Address: | 165 Quincy St Brockton, MA - 023022988 |
Business Phone Number: | 5088972100 |
Business Fax Number: | 5088972135 |
Mailing Address: | 1 Ridgehill Ln, SAGAMORE BEACH |
State: | MA |
Postal Code: | 025622544 |
Phone Number: | 2672652178 |
Fax Number: | |
NPI Enumeration Date: | 08/18/2009 |
NPI Last Update Date: | 04/24/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 118349 |
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 |