Doctor Name: | DR. BRIGID M NOONAN-KLIMA |
NPI Number: | 1144488792 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PH.D. |
License Number: | MH8423 |
Business Practice Address: | 800 Celebration Ave Ste 304 Celebration, FL - 347475155 |
Business Phone Number: | 3219397615 |
Business Fax Number: | 3219397606 |
Mailing Address: | 800 Celebration Ave Ste 304, CELEBRATION |
State: | FL |
Postal Code: | 347475155 |
Phone Number: | 3219397615 |
Fax Number: | 3219397606 |
NPI Enumeration Date: | 05/30/2008 |
NPI Last Update Date: | 05/30/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | MH8423 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |