Doctor Name: | BONNIE HANCOCK |
NPI Number: | 1215022991 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MSS, LCSW |
License Number: | CW000329L |
Business Practice Address: | 1328 Broadway Blvd Reading, PA - 196071710 |
Business Phone Number: | 6107779991 |
Business Fax Number: | 6107779996 |
Mailing Address: | 1328 Broadway Blvd, READING |
State: | PA |
Postal Code: | 196071710 |
Phone Number: | 6107779991 |
Fax Number: | 6107779991 |
NPI Enumeration Date: | 10/04/2006 |
NPI Last Update Date: | 06/30/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | CW000329L |
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 |