Doctor Name: | ANGELA BIERLE EARLY |
NPI Number: | 1013273010 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LICSW |
License Number: | 19867 |
Business Practice Address: | 3395 Plymouth Rd Minnetonka, MN - 553053765 |
Business Phone Number: | 9529390396 |
Business Fax Number: | 9525488760 |
Mailing Address: | 3395 Plymouth Rd, MINNETONKA |
State: | MN |
Postal Code: | 553053765 |
Phone Number: | 9529390396 |
Fax Number: | 9525488760 |
NPI Enumeration Date: | 04/04/2012 |
NPI Last Update Date: | 04/04/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 19867 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MN |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |