Doctor Name: | JOHN DENGLER |
NPI Number: | 1114093960 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | LCSW, CAC III, PH.D. |
License Number: | 991618 |
Business Practice Address: | 44 E. Spaulding, Bldg.3, Suite 1 Pueblo West, CO - 810070567 |
Business Phone Number: | 7192509569 |
Business Fax Number: | 7195474125 |
Mailing Address: | Po Box 7567, 44 E. Spaulding, Bldg.3, Suite 1 PUEBLO WEST |
State: | CO |
Postal Code: | 810070567 |
Phone Number: | 7192509569 |
Fax Number: | 7195474125 |
NPI Enumeration Date: | 11/24/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 991618 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CO |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |