Doctor Name: | PROF. DONNA PAVLIK |
NPI Number: | 1174687727 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LCSW |
License Number: | 44SC05215400 |
Business Practice Address: | 81 Ernston Rd Parlin, NJ - 088591765 |
Business Phone Number: | 7329916303 |
Business Fax Number: | 7323160440 |
Mailing Address: | 7 Canal St, SAYREVILLE |
State: | NJ |
Postal Code: | 088721011 |
Phone Number: | 7329916303 |
Fax Number: | |
NPI Enumeration Date: | 12/20/2006 |
NPI Last Update Date: | 12/06/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 44SC05215400 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |