Doctor Name: | MRS. JOANNA HEATHER LITTLE |
NPI Number: | 1114184066 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LPC |
License Number: | 37PC00367100 |
Business Practice Address: | 3819 New Jersey Ave Wildwood, NJ - 082601914 |
Business Phone Number: | 6095225960 |
Business Fax Number: | 6095224074 |
Mailing Address: | 5804 New Jersey Ave, WILDWOOD CREST |
State: | NJ |
Postal Code: | 082601344 |
Phone Number: | 7322662917 |
Fax Number: | |
NPI Enumeration Date: | 05/19/2008 |
NPI Last Update Date: | 11/04/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | 37PC00367100 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |