Doctor Name: | MS. PAULA SUSAN THORNDILL |
NPI Number: | 1225331846 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LMSW |
License Number: | 6801033516 |
Business Practice Address: | 1111 Fulton St Grand Haven, MI - 494171569 |
Business Phone Number: | 6168468272 |
Business Fax Number: | 6168420886 |
Mailing Address: | 1111 Fulton St, GRAND HAVEN |
State: | MI |
Postal Code: | 494171569 |
Phone Number: | 6168468272 |
Fax Number: | 6168420886 |
NPI Enumeration Date: | 12/21/2010 |
NPI Last Update Date: | 12/21/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 6801033516 |
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 |