Doctor Name: | MRS. DEBORAH ANN WISER |
NPI Number: | 1063680957 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | |
Business Practice Address: | 12882 Manchester Road Suite 201 St Louis, MO - 63131 |
Business Phone Number: | 3148639912 |
Business Fax Number: | 3148639918 |
Mailing Address: | 12882 Manchester Road, Suite 201 ST LOUIS |
State: | MO |
Postal Code: | 63131 |
Phone Number: | 3148639912 |
Fax Number: | 3148639918 |
NPI Enumeration Date: | 02/14/2008 |
NPI Last Update Date: | 02/14/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |