Doctor Name: | RAMONA L. WILZBACHER |
NPI Number: | 1013230093 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MSW, LCSW |
License Number: | 34005668A |
Business Practice Address: | 60 S. Stockwell Road Evansville, IN - 477140247 |
Business Phone Number: | 8124765437 |
Business Fax Number: | 8124227558 |
Mailing Address: | 415 Mulberry Street, EVANSVILLE |
State: | IN |
Postal Code: | 477131230 |
Phone Number: | 8124237791 |
Fax Number: | 8124227558 |
NPI Enumeration Date: | 03/05/2010 |
NPI Last Update Date: | 06/23/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 34005668A |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IN |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |