Doctor Name: | DR. ELLEN PORTER HONNET |
NPI Number: | 1376755439 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | ED.D. |
License Number: | 8297 |
Business Practice Address: | 19 Harrison St Newton Highlands, MA - 024611324 |
Business Phone Number: | 6179693451 |
Business Fax Number: | 6179693430 |
Mailing Address: | 19 Harrison St, NEWTON HIGHLANDS |
State: | MA |
Postal Code: | 024611324 |
Phone Number: | 6179693451 |
Fax Number: | 6179693430 |
NPI Enumeration Date: | 05/03/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC1900X |
License Number: | 8297 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Counseling |
Taxonomy Definition: |