Doctor Name: | BRENDA RENEE QUINN |
NPI Number: | 1285778894 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LICSW |
License Number: | 843 |
Business Practice Address: | 633 Maple St Suite 2 Hopkinton, NH - 032293377 |
Business Phone Number: | 6037316973 |
Business Fax Number: | 8667310420 |
Mailing Address: | 633 Maple St, Suite 2, Box 6 HOPKINTON |
State: | NH |
Postal Code: | 032293377 |
Phone Number: | 6037316973 |
Fax Number: | 8667310420 |
NPI Enumeration Date: | 02/16/2007 |
NPI Last Update Date: | 11/13/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 843 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NH |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |