Provider Demographics
NPI:1962595371
Name:RICE, NAN ELIZABETH (MA, LMFT, LMHC)
Entity type:Individual
Prefix:
First Name:NAN
Middle Name:ELIZABETH
Last Name:RICE
Suffix:
Gender:F
Credentials:MA, LMFT, LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 449
Mailing Address - Street 2:
Mailing Address - City:EAST LONGMEADOW
Mailing Address - State:MA
Mailing Address - Zip Code:01028-0449
Mailing Address - Country:US
Mailing Address - Phone:413-783-6926
Mailing Address - Fax:413-783-6926
Practice Address - Street 1:120 HARKNESS AVE
Practice Address - Street 2:
Practice Address - City:SPRINGFIELD
Practice Address - State:MA
Practice Address - Zip Code:01118-2222
Practice Address - Country:US
Practice Address - Phone:413-783-6926
Practice Address - Fax:413-783-6926
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA344101YM0800X
MA291106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Not Answered106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist