Healthcare Provider Details
I. General information
NPI: 1457665226
Provider Name (Legal Business Name): DONNA ARMFIELD HUME L.C.S.W.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 08/03/2010
Last Update Date: 08/03/2010
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1110 E CHAPMAN AVE SUITE 204
ORANGE CA
92866-2139
US
IV. Provider business mailing address
1110 E CHAPMAN AVE SUITE 204
ORANGE CA
92866-2139
US
V. Phone/Fax
- Phone: 714-453-0688
- Fax: 714-453-0691
- Phone: 714-453-0688
- Fax: 714-453-0691
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 1041C0700X |
| Taxonomy | Clinical Social Worker |
| License Number | LCS 17304 |
| License Number State | CA |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: