Doctor Name: | BETTY SHARON SPENCER |
NPI Number: | 1043407489 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MSW |
License Number: | I-2368 |
Business Practice Address: | Highway 163 Bldg Ka 2010 Kayenta, AZ - 86033 |
Business Phone Number: | 9286974185 |
Business Fax Number: | 9286974189 |
Mailing Address: | Po Box 3663, KAYENTA |
State: | AZ |
Postal Code: | 860333663 |
Phone Number: | 9286973230 |
Fax Number: | |
NPI Enumeration Date: | 10/01/2007 |
NPI Last Update Date: | 10/01/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | I-2368 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NM |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |