Doctor Name: | MRS. MIRIAM M CUMMINGS |
NPI Number: | 1114209046 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LCSW |
License Number: | 070732 |
Business Practice Address: | 16 Beartown Rd Painted Post, NY - 148709320 |
Business Phone Number: | 6079366514 |
Business Fax Number: | |
Mailing Address: | 165 Charles St, PAINTED POST |
State: | NY |
Postal Code: | 148701100 |
Phone Number: | 6079363704 |
Fax Number: | |
NPI Enumeration Date: | 09/16/2011 |
NPI Last Update Date: | 09/16/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041S0200X |
License Number: | 070732 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | School |
Taxonomy Definition: |