Doctor Name: | MRS. GINA MARIE REZENDES |
NPI Number: | 1225018468 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.S., LMHC |
License Number: | 5964 |
Business Practice Address: | 175 Paramount Dr Raynham, MA - 027671065 |
Business Phone Number: | 5088241780 |
Business Fax Number: | 5088245572 |
Mailing Address: | 175 Paramount Dr, RAYNHAM |
State: | MA |
Postal Code: | 027671065 |
Phone Number: | 5088241780 |
Fax Number: | 5088245572 |
NPI Enumeration Date: | 01/21/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | 5964 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |