Doctor Name: | MS. DALE ENGELBERG |
NPI Number: | 1063621761 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MA |
License Number: | 0214 |
Business Practice Address: | 703 Calvin Avery Dr West Memphis, AR - 723016501 |
Business Phone Number: | 8707027563 |
Business Fax Number: | 8707355401 |
Mailing Address: | 511 Goodland St, MEMPHIS |
State: | TN |
Postal Code: | 381112320 |
Phone Number: | 9014586949 |
Fax Number: | |
NPI Enumeration Date: | 05/21/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | 0214 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | TN |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |