Doctor Name: | PAULA M HENRY |
NPI Number: | 1194186205 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LICSW |
License Number: | 117715 |
Business Practice Address: | 200 Cordwainer Dr Suite 200 Norwell, MA - 020611671 |
Business Phone Number: | 7818788340 |
Business Fax Number: | 3397889904 |
Mailing Address: | 200 Cordwainer Dr, Suite 200 NORWELL |
State: | MA |
Postal Code: | 020611671 |
Phone Number: | 7818788340 |
Fax Number: | 3397889904 |
NPI Enumeration Date: | 03/16/2016 |
NPI Last Update Date: | 03/22/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 117715 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |