Doctor Name: | DR. DANIELLE NANCE |
NPI Number: | 1093967549 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PSYD, LMHC, CSAYC |
License Number: | 39001629A |
Business Practice Address: | 131 N Pendleton Ave Suite A Pendleton, IN - 460641076 |
Business Phone Number: | 7657783223 |
Business Fax Number: | |
Mailing Address: | 131 N Pendleton Ave, Suite A PENDLETON |
State: | IN |
Postal Code: | 460641076 |
Phone Number: | 7657783223 |
Fax Number: | |
NPI Enumeration Date: | 10/15/2008 |
NPI Last Update Date: | 10/15/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | 39001629A |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IN |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |