Doctor Name: | MIRIAM OUMA |
NPI Number: | 1528408374 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RN |
License Number: | RN2267059 |
Business Practice Address: | 90 Hall Rd Apt 3 Sturbridge, MA - 015661545 |
Business Phone Number: | 7742307063 |
Business Fax Number: | |
Mailing Address: | 90 Hall Rd Apt 3, STURBRIDGE |
State: | MA |
Postal Code: | 015661545 |
Phone Number: | 7742307063 |
Fax Number: | |
NPI Enumeration Date: | 06/26/2013 |
NPI Last Update Date: | 06/26/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | RN2267059 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |