Doctor Name: | NINA THOMAS |
NPI Number: | 1023345246 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | COUNSELOR-PEDUCATOR |
License Number: | |
Business Practice Address: | 402 East Main Street Morris Foundation, Inc Waterbury, CT - 067021701 |
Business Phone Number: | 2037551143 |
Business Fax Number: | 2037551447 |
Mailing Address: | 79 Beacon St, Womens & Childrens Program-morris Foundation, Inc WATERBURY |
State: | CT |
Postal Code: | 067043424 |
Phone Number: | 2035743311 |
Fax Number: | 2035743315 |
NPI Enumeration Date: | 11/09/2009 |
NPI Last Update Date: | 11/09/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |