Doctor Name: | MR. WILLIAM JOHN TREZZA |
NPI Number: | 1073524013 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | LISW-CP |
License Number: | 4190 |
Business Practice Address: | 215 Barnwell Ave Nw Aiken, SC - 298013903 |
Business Phone Number: | 8036425480 |
Business Fax Number: | 8036431800 |
Mailing Address: | 215 Barnwell Ave Nw, AIKEN |
State: | SC |
Postal Code: | 298013903 |
Phone Number: | 8036425480 |
Fax Number: | 8036431800 |
NPI Enumeration Date: | 08/11/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 4190 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | SC |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |