Doctor Name: | MS. WENDY PITTS REEVES |
NPI Number: | 1063428035 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | L.C.S.W. |
License Number: | 00924 |
Business Practice Address: | 307 High St Maryville, TN - 378045847 |
Business Phone Number: | 8656812869 |
Business Fax Number: | 8653792869 |
Mailing Address: | 307 High St, MARYVILLE |
State: | TN |
Postal Code: | 378045847 |
Phone Number: | 8656812869 |
Fax Number: | 8653792869 |
NPI Enumeration Date: | 07/31/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 00924 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TN |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |