Doctor Name: | DR. DOROTHY AGNES MARTIN-NEVILLE |
NPI Number: | 1477750404 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PH.D. |
License Number: | LPC - 000800 |
Business Practice Address: | 2 Wintonbury Mall Bloomfield, CT - 060022466 |
Business Phone Number: | 8602865400 |
Business Fax Number: | 8602865402 |
Mailing Address: | 2 Wintonbury Mall, BLOOMFIELD |
State: | CT |
Postal Code: | 060022466 |
Phone Number: | 8602865400 |
Fax Number: | 8602865402 |
NPI Enumeration Date: | 07/02/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | LPC - 000800 |
Healthcare Provider Taxonomy: (Secondary) | N |
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. |