Doctor Name: | LINDA DORAN |
NPI Number: | 1831274000 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | APRN |
License Number: | 001035 |
Business Practice Address: | 14 Masons Island Rd Unit 12 Mystic, CT - 063552958 |
Business Phone Number: | 8605368804 |
Business Fax Number: | |
Mailing Address: | 14 Masons Island Rd Unit 12, MYSTIC |
State: | CT |
Postal Code: | 063552958 |
Phone Number: | 8605368804 |
Fax Number: | |
NPI Enumeration Date: | 10/26/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | 001035 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CT |
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 |