Doctor Name: | AYANNA PARRENT |
NPI Number: | 1063765790 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LICSW |
License Number: | 112227 |
Business Practice Address: | 1019 Iyannough Rd Hyannis, MA - 026011839 |
Business Phone Number: | 5087781839 |
Business Fax Number: | 5087751245 |
Mailing Address: | 1019 Iyannough Rd, HYANNIS |
State: | MA |
Postal Code: | 026011839 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 10/18/2012 |
NPI Last Update Date: | 12/03/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 112227 |
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 |