Doctor Name: | DAVID SHOWALTER |
NPI Number: | 1043434145 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | LSCSW |
License Number: | 848 |
Business Practice Address: | 6440 Nieman Rd Shawnee, KS - 662033326 |
Business Phone Number: | 9139629955 |
Business Fax Number: | 9138261589 |
Mailing Address: | 6000 Lamar Ave, Ste 130 MISSION |
State: | KS |
Postal Code: | 662023234 |
Phone Number: | 9138312550 |
Fax Number: | 9138261589 |
NPI Enumeration Date: | 04/12/2007 |
NPI Last Update Date: | 10/20/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 848 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | KS |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |