Doctor Name: | MS. BRIDGET M. NUROCK |
NPI Number: | 1194881995 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LCSW |
License Number: | CWO15607 |
Business Practice Address: | 600 Haverford Rd Suite G104 Haverford, PA - 190411139 |
Business Phone Number: | 2158505872 |
Business Fax Number: | |
Mailing Address: | 101 Cheswold Ln, Unit 4h HAVERFORD |
State: | PA |
Postal Code: | 190411867 |
Phone Number: | 4844163596 |
Fax Number: | 4844163596 |
NPI Enumeration Date: | 12/28/2006 |
NPI Last Update Date: | 12/15/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | CWO15607 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |