Doctor Name: | BARBARA VANLANDEGHEM |
NPI Number: | 1003856170 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LMSW |
License Number: | 6801004191 |
Business Practice Address: | 350 N Court St Suite 205 Lapeer, MI - 484462206 |
Business Phone Number: | 8106674500 |
Business Fax Number: | 8106674512 |
Mailing Address: | 467 N State St, CARO |
State: | MI |
Postal Code: | 487231539 |
Phone Number: | 9896726160 |
Fax Number: | 9896725649 |
NPI Enumeration Date: | 06/07/2006 |
NPI Last Update Date: | 10/30/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 6801004191 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MI |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |