| Doctor Name: | MS. JONI LYNN DITTMER |
| NPI Number: | 1023281029 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LISW |
| License Number: | 00882 |
| Business Practice Address: | 718 Bridge Ave Davenport, IA - 528035620 |
| Business Phone Number: | 5633204395 |
| Business Fax Number: | 5632854014 |
| Mailing Address: | 12090 240th St, ELDRIDGE |
| State: | IA |
| Postal Code: | 527489400 |
| Phone Number: | 5633204395 |
| Fax Number: | 5632854014 |
| NPI Enumeration Date: | 04/10/2008 |
| NPI Last Update Date: | 04/10/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | 00882 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |