Doctor Name: | COURTNEY NELSON |
NPI Number: | 1235256314 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | |
Business Practice Address: | 110 Main St Suite 206 East Greenwich, RI - 028183880 |
Business Phone Number: | 4013919353 |
Business Fax Number: | |
Mailing Address: | 110 Main St, Suite 206 EAST GREENWICH |
State: | RI |
Postal Code: | 028183880 |
Phone Number: | 4013919353 |
Fax Number: | |
NPI Enumeration Date: | 03/23/2007 |
NPI Last Update Date: | 10/14/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |