Doctor Name: | MRS. JILL K LITTLE |
NPI Number: | 1114227972 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.ED. |
License Number: | |
Business Practice Address: | 200 S Main St Attleboro, MA - 027034006 |
Business Phone Number: | 5082266031 |
Business Fax Number: | 5082234128 |
Mailing Address: | 70 Main St, TAUNTON |
State: | MA |
Postal Code: | 027802778 |
Phone Number: | 5088217777 |
Fax Number: | |
NPI Enumeration Date: | 10/27/2010 |
NPI Last Update Date: | 10/27/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |