Doctor Name: | MS. NANCY RYER BASS |
NPI Number: | 1760449946 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.A. |
License Number: | LPC 2386 |
Business Practice Address: | 1965 Capital Cir Ne Tallahassee, FL - 323088401 |
Business Phone Number: | 8505102831 |
Business Fax Number: | 8508931806 |
Mailing Address: | 3405 Cherokee Ridge Trl, TALLAHASSEE |
State: | FL |
Postal Code: | 323123607 |
Phone Number: | 8508931806 |
Fax Number: | 8508931806 |
NPI Enumeration Date: | 04/29/2006 |
NPI Last Update Date: | 11/24/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | LPC 2386 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | GA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |