| Doctor Name: | RICHARD L NAULT |
| NPI Number: | 1215974514 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MSW |
| License Number: | 6801066678 |
| Business Practice Address: | 57950 Leavenworth St 22 Mdg Mcconnell Afb, KS - 672213506 |
| Business Phone Number: | 3167595768 |
| Business Fax Number: | 3167591304 |
| Mailing Address: | 57950 Leavenworth St, 22 Mdg MCCONNELL AFB |
| State: | KS |
| Postal Code: | 672213506 |
| Phone Number: | 3167595768 |
| Fax Number: | 3167591304 |
| NPI Enumeration Date: | 06/02/2006 |
| NPI Last Update Date: | 04/17/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | 6801066678 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MI |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |