Doctor Name: | ALICIA CORMIER |
NPI Number: | 1760619704 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | C0700900 |
Business Practice Address: | 600 E Dayton Yellow Springs Rd Fairborn, OH - 453243995 |
Business Phone Number: | 9378793400 |
Business Fax Number: | 9378799400 |
Mailing Address: | 452 W Market St, XENIA |
State: | OH |
Postal Code: | 453852815 |
Phone Number: | 9373768700 |
Fax Number: | 9373768725 |
NPI Enumeration Date: | 06/17/2009 |
NPI Last Update Date: | 06/17/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | C0700900 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OH |
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 |