Doctor Name: | BETHANY TEEM STALCUP |
NPI Number: | 1104941533 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LCSW |
License Number: | C006145 |
Business Practice Address: | 750 W Us Highway 64 Murphy, NC - 289068115 |
Business Phone Number: | 8288370071 |
Business Fax Number: | 8288375309 |
Mailing Address: | Po Box 444, MURPHY |
State: | NC |
Postal Code: | 289060444 |
Phone Number: | 8288370071 |
Fax Number: | 8288375309 |
NPI Enumeration Date: | 03/21/2007 |
NPI Last Update Date: | 03/06/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | C006145 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NC |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |