| Doctor Name: | MS. TINA C NOLAN |
| NPI Number: | 1952458051 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LCSW |
| License Number: | CW013868 |
| Business Practice Address: | 6010 Black Horse Pike Egg Harbor Twp, NJ - 082349752 |
| Business Phone Number: | 6092728580 |
| Business Fax Number: | |
| Mailing Address: | Po Box 1086, PLEASANTVILLE |
| State: | NJ |
| Postal Code: | 082326086 |
| Phone Number: | 6092728580 |
| Fax Number: | |
| NPI Enumeration Date: | 01/04/2007 |
| NPI Last Update Date: | 08/04/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | CW013868 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | PA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |