Doctor Name: | DONNA SADIE EDERY-SHALVOY |
NPI Number: | 1124209325 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.S.W. |
License Number: | 2020009 |
Business Practice Address: | 1581 N Main St Palmer, MA - 010691232 |
Business Phone Number: | 4132833267 |
Business Fax Number: | |
Mailing Address: | 1581 N Main St, PALMER |
State: | MA |
Postal Code: | 010691232 |
Phone Number: | 4132833267 |
Fax Number: | |
NPI Enumeration Date: | 11/16/2007 |
NPI Last Update Date: | 11/16/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 2020009 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |