Doctor Name: | MISS MARTHA K STEWART |
NPI Number: | 1073820577 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.S.,LPC |
License Number: | 5294 |
Business Practice Address: | 2007 Powers Ln Effingham, SC - 295413161 |
Business Phone Number: | 8433195198 |
Business Fax Number: | |
Mailing Address: | 2007 Powers Ln, EFFINGHAM |
State: | SC |
Postal Code: | 295413161 |
Phone Number: | 8433195198 |
Fax Number: | |
NPI Enumeration Date: | 09/03/2010 |
NPI Last Update Date: | 09/03/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | 5294 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | SC |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |