Doctor Name: | MRS. DOROTHY MICHELLE BARTLESON |
NPI Number: | 1114247178 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 001279 |
Business Practice Address: | 980 South Iowa Avenue Four Oaks Mason City, IA - 50402 |
Business Phone Number: | 6414233222 |
Business Fax Number: | 6414231740 |
Mailing Address: | 980 South Iowa Avenue, Four Oaks MASON CITY |
State: | IA |
Postal Code: | 50402 |
Phone Number: | 6414233222 |
Fax Number: | 6414231740 |
NPI Enumeration Date: | 06/01/2010 |
NPI Last Update Date: | 06/01/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | 001279 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |