| Doctor Name: | MRS. JERRY L WEBBER |
| NPI Number: | 1104078260 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LCSW |
| License Number: | 2368 |
| Business Practice Address: | 904 W 23rd St Suite; 101 Heartland Pwychological Services Yankton, SD - 570781206 |
| Business Phone Number: | 6056650841 |
| Business Fax Number: | 6056650096 |
| Mailing Address: | 904 W 23rd St Suite; 101, Heartland Pwychological Services YANKTON |
| State: | SD |
| Postal Code: | 570781206 |
| Phone Number: | 6056650841 |
| Fax Number: | 6056650096 |
| NPI Enumeration Date: | 10/21/2008 |
| NPI Last Update Date: | 10/21/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | 2368 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | SD |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |