Provider Demographics
NPI:1346455946
Name:GIVNER, ANNE (MA)
Entity Type:Individual
Prefix:MRS
First Name:ANNE
Middle Name:
Last Name:GIVNER
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:254 LONGWOOD XING
Mailing Address - Street 2:
Mailing Address - City:LAWRENCE
Mailing Address - State:NY
Mailing Address - Zip Code:11559-2728
Mailing Address - Country:US
Mailing Address - Phone:516-371-0799
Mailing Address - Fax:516-239-3619
Practice Address - Street 1:254 LONGWOOD XING
Practice Address - Street 2:
Practice Address - City:LAWRENCE
Practice Address - State:NY
Practice Address - Zip Code:11559-2728
Practice Address - Country:US
Practice Address - Phone:516-371-0799
Practice Address - Fax:516-239-3619
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY000619106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist