Doctor Name: | NITSA OZ |
NPI Number: | 1073763504 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LICSW |
License Number: | 1025262 |
Business Practice Address: | 24 Blodgett Ave Pawtucket, RI - 028605620 |
Business Phone Number: | 4017440867 |
Business Fax Number: | |
Mailing Address: | 24 Blodgett Ave, PAWTUCKET |
State: | RI |
Postal Code: | 028605620 |
Phone Number: | 4017440867 |
Fax Number: | |
NPI Enumeration Date: | 09/20/2008 |
NPI Last Update Date: | 01/06/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 1025262 |
Healthcare Provider Taxonomy: (Secondary) | N |
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 |