Provider Demographics
NPI:1669777488
Name:KING, NANCY E
Entity type:Individual
Prefix:MS
First Name:NANCY
Middle Name:E
Last Name:KING
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 1:190 TOMLINSON AVE
Mailing Address - Street 2:7A
Mailing Address - City:PLAINVILLE
Mailing Address - State:CT
Mailing Address - Zip Code:06062-2979
Mailing Address - Country:US
Mailing Address - Phone:860-836-3420
Mailing Address - Fax:
Practice Address - Street 1:190 TOMLINSON AVE
Practice Address - Street 2:7A
Practice Address - City:PLAINVILLE
Practice Address - State:CT
Practice Address - Zip Code:06062-2979
Practice Address - Country:US
Practice Address - Phone:860-836-3420
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-01-26
Last Update Date:2011-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health