Doctor Name: | MS. DONYELLE VONISE MCBRIDE |
NPI Number: | 1407923725 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 046491 |
Business Practice Address: | 211 Park Rd Lower Level West Hartford, CT - 061192014 |
Business Phone Number: | 8609852081 |
Business Fax Number: | 8609207368 |
Mailing Address: | 211 Park Rd, Lower Level WEST HARTFORD |
State: | CT |
Postal Code: | 061192014 |
Phone Number: | 8609852081 |
Fax Number: | 8609207365 |
NPI Enumeration Date: | 11/30/2006 |
NPI Last Update Date: | 08/03/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | 046491 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CT |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |