Doctor Name: | MS. NANCY UNDERHILL EATON |
NPI Number: | 1356403893 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LMHC |
License Number: | 4187 |
Business Practice Address: | 169 Route 6a Box 964 Orleans, MA - 02653 |
Business Phone Number: | 5082407177 |
Business Fax Number: | 5082407192 |
Mailing Address: | 473 Queen Anne Rd, Po Box 1127 HARWICH |
State: | MA |
Postal Code: | 02645 |
Phone Number: | 5084324970 |
Fax Number: | |
NPI Enumeration Date: | 12/14/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | 4187 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |