Doctor Name: | MR. OWEN L. SAMMONS |
NPI Number: | 1043376239 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MSW |
License Number: | 44SC00841800 |
Business Practice Address: | 44 Stelton Rd Suite 304 Piscataway, NJ - 088542600 |
Business Phone Number: | 9084000735 |
Business Fax Number: | 7327525157 |
Mailing Address: | 17 Musket Way, PISCATAWAY |
State: | NJ |
Postal Code: | 088542828 |
Phone Number: | 7327525157 |
Fax Number: | |
NPI Enumeration Date: | 12/29/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 44SC00841800 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |