Doctor Name: | JUANA MEDINA NAVARRO |
NPI Number: | 1003284092 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 077222 |
Business Practice Address: | 625 Court St Sioux City, IA - 511011919 |
Business Phone Number: | 7122523871 |
Business Fax Number: | 7122221438 |
Mailing Address: | 625 Court St, Po Box 1917 SIOUX CITY |
State: | IA |
Postal Code: | 511011919 |
Phone Number: | 7122523871 |
Fax Number: | 7122221438 |
NPI Enumeration Date: | 09/08/2015 |
NPI Last Update Date: | 09/08/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 077222 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |