Doctor Name: | MR. RICK CONYER |
NPI Number: | 1750617650 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.S.W. |
License Number: | PSW734 |
Business Practice Address: | 866 Grand Sayan Loop Apopka, FL - 327124751 |
Business Phone Number: | 4078865331 |
Business Fax Number: | |
Mailing Address: | 866 Grand Sayan Loop, APOPKA |
State: | FL |
Postal Code: | 327124751 |
Phone Number: | 4078865331 |
Fax Number: | |
NPI Enumeration Date: | 10/27/2009 |
NPI Last Update Date: | 10/27/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | PSW734 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |