Doctor Name: | ROBERT ROLAND FOURNIER |
NPI Number: | 1649293945 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PH.D. |
License Number: | 1018786 |
Business Practice Address: | 901 Main St Osterville, MA - 026552049 |
Business Phone Number: | 5084771676 |
Business Fax Number: | |
Mailing Address: | 116 Snake Pond Rd, FORESTDALE |
State: | MA |
Postal Code: | 026441522 |
Phone Number: | 5084771676 |
Fax Number: | |
NPI Enumeration Date: | 07/26/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 1018786 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |