Doctor Name: | MRS. DANA ELIZABETH MANEL JARVIS |
NPI Number: | 1457467052 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LCSW |
License Number: | LC8525 |
Business Practice Address: | 912 Long Plains Rd Buxton, ME - 040933208 |
Business Phone Number: | 2079293836 |
Business Fax Number: | 2079299152 |
Mailing Address: | 912 Long Plains Rd, BUXTON |
State: | ME |
Postal Code: | 040933208 |
Phone Number: | 2079293836 |
Fax Number: | 2079299152 |
NPI Enumeration Date: | 08/23/2006 |
NPI Last Update Date: | 09/10/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | LC8525 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | ME |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |