Doctor Name: | MS. JACQUELINE NICOLE DOVER |
NPI Number: | 1487953980 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MSSA, LSW |
License Number: | S.1000326 |
Business Practice Address: | 17599 Waterbridge Dr North Royalton, OH - 441336467 |
Business Phone Number: | 4403901730 |
Business Fax Number: | |
Mailing Address: | 17599 Waterbridge Dr, NORTH ROYALTON |
State: | OH |
Postal Code: | 441336467 |
Phone Number: | 4403901730 |
Fax Number: | |
NPI Enumeration Date: | 03/23/2011 |
NPI Last Update Date: | 03/23/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041S0200X |
License Number: | S.1000326 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OH |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | School |
Taxonomy Definition: |