Doctor Name: | DR. NATALIE KATE NUGENT |
NPI Number: | 1124379433 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PH.D. |
License Number: | 6301015259 |
Business Practice Address: | 1375 R. Dale Wertz Drive Bad Axe, MI - 48413 |
Business Phone Number: | 9892691108 |
Business Fax Number: | |
Mailing Address: | 1375 R. Dale Wertz Drive, BAD AXE |
State: | MI |
Postal Code: | 48413 |
Phone Number: | 9892691108 |
Fax Number: | |
NPI Enumeration Date: | 09/26/2012 |
NPI Last Update Date: | 09/25/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC0700X |
License Number: | 6301015259 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | MI |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: |