Doctor Name: | DR. SHERRI NUSSBAUM |
NPI Number: | 1457601817 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LPC |
License Number: | 62326 |
Business Practice Address: | 3400 West Marshall Suite 309 Austin Bank Building Longview, TX - 75604 |
Business Phone Number: | 9032412947 |
Business Fax Number: | |
Mailing Address: | 1413 Secluded Lane, LONGVIEWT |
State: | TX |
Postal Code: | 75604 |
Phone Number: | 9032412947 |
Fax Number: | |
NPI Enumeration Date: | 09/13/2012 |
NPI Last Update Date: | 09/13/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | 62326 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |