Doctor Name: | MRS. NANCY GAYLE DONAHOO |
NPI Number: | 1316921018 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LCSW |
License Number: | 000619 |
Business Practice Address: | 1107 Broadway Lamar, MO - 647591758 |
Business Phone Number: | 4176825757 |
Business Fax Number: | 4176825757 |
Mailing Address: | 1107 Broadway, LAMAR |
State: | MO |
Postal Code: | 647591758 |
Phone Number: | 4176825757 |
Fax Number: | 4176825757 |
NPI Enumeration Date: | 12/06/2005 |
NPI Last Update Date: | 02/13/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 000619 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MO |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |