Doctor Name: | MS. REBECCA JOYCE HEISSERER |
NPI Number: | 1013112366 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LCSW |
License Number: | 1246C |
Business Practice Address: | 2909 Independence St Cape Girardeau, MO - 637035044 |
Business Phone Number: | 5738031402 |
Business Fax Number: | 5738031405 |
Mailing Address: | 2909 Independence St, CAPE GIRARDEAU |
State: | MO |
Postal Code: | 637035044 |
Phone Number: | 5738031402 |
Fax Number: | 5738031405 |
NPI Enumeration Date: | 06/18/2007 |
NPI Last Update Date: | 11/19/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 1246C |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AR |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |