Doctor Name: | MARY J PRINZ |
NPI Number: | 1003980061 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LCSW |
License Number: | 991014 |
Business Practice Address: | 115 Parkside Dr Colorado Springs, CO - 809103130 |
Business Phone Number: | 7195726340 |
Business Fax Number: | 7194474791 |
Mailing Address: | 5299 S Cubmont Dr, EVERGREEN |
State: | CO |
Postal Code: | 804397308 |
Phone Number: | 3035810277 |
Fax Number: | |
NPI Enumeration Date: | 11/20/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 991014 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CO |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |