Doctor Name: | MS. JAN MARIE DUMOND |
NPI Number: | 1326039694 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | MA10558 |
Business Practice Address: | 250c Greenfield Rd South Deerfield, MA - 013739790 |
Business Phone Number: | 4136651568 |
Business Fax Number: | 4136651568 |
Mailing Address: | 329 Prospect St, NORTHAMPTON |
State: | MA |
Postal Code: | 010602049 |
Phone Number: | 4136651568 |
Fax Number: | 4136653477 |
NPI Enumeration Date: | 11/04/2005 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | MA10558 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |