Provider Demographics
NPI:1962942722
Name:VERNOOY, NANCY K (MFT)
Entity type:Individual
Prefix:
First Name:NANCY
Middle Name:K
Last Name:VERNOOY
Suffix:
Gender:F
Credentials:MFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11 MACINTOSH DR
Mailing Address - Street 2:
Mailing Address - City:OXFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06478-1386
Mailing Address - Country:US
Mailing Address - Phone:203-888-1157
Mailing Address - Fax:
Practice Address - Street 1:731 MAIN ST
Practice Address - Street 2:SUITE 123
Practice Address - City:MONROE
Practice Address - State:CT
Practice Address - Zip Code:06468-2872
Practice Address - Country:US
Practice Address - Phone:203-300-6414
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-02-27
Last Update Date:2017-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist