Doctor Name: | DR. NONA FAYE OWENS |
NPI Number: | 1548265416 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PH.D. |
License Number: | 96 |
Business Practice Address: | 5509 Old Highway 80 Bolton, MS - 390419191 |
Business Phone Number: | 6018267907 |
Business Fax Number: | |
Mailing Address: | 5509 Old Highway 80, BOLTON |
State: | MS |
Postal Code: | 390419191 |
Phone Number: | 6018267907 |
Fax Number: | |
NPI Enumeration Date: | 06/16/2005 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TA0700X |
License Number: | 96 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MS |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Adult Development & Aging |
Taxonomy Definition: |