Doctor Name: | ANNA QUINN DENZER |
NPI Number: | 1477922888 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 21171512 |
Business Practice Address: | 349 Chesterville Ave Cardington, OH - 433159217 |
Business Phone Number: | 4198643152 |
Business Fax Number: | |
Mailing Address: | 349 Chesterville Ave, CARDINGTON |
State: | OH |
Postal Code: | 433159217 |
Phone Number: | 4198643152 |
Fax Number: | |
NPI Enumeration Date: | 09/16/2015 |
NPI Last Update Date: | 09/16/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TS0200X |
License Number: | 21171512 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OH |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | School |
Taxonomy Definition: |