Provider Demographics
NPI:1295056554
Name:NOVICK, ANN
Entity type:Individual
Prefix:
First Name:ANN
Middle Name:
Last Name:NOVICK
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:64 SUMNER ST
Mailing Address - Street 2:ADMINISTRATIVE OFFICES
Mailing Address - City:GREAT BARRINGTON
Mailing Address - State:MA
Mailing Address - Zip Code:01230-1040
Mailing Address - Country:US
Mailing Address - Phone:413-629-1251
Mailing Address - Fax:413-448-2198
Practice Address - Street 1:38 CHURCH ST
Practice Address - Street 2:# 102
Practice Address - City:LENOX
Practice Address - State:MA
Practice Address - Zip Code:01240-2525
Practice Address - Country:US
Practice Address - Phone:413-629-1251
Practice Address - Fax:413-448-2198
Is Sole Proprietor?:Yes
Enumeration Date:2010-06-21
Last Update Date:2016-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor