| Doctor Name: | MR. DAVID W DRUCKENBROD |
| NPI Number: | 1134281959 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | LCSW |
| License Number: | 1191-123 |
| Business Practice Address: | 1520 Vernon St Stoughton, WI - 535892260 |
| Business Phone Number: | 6088736422 |
| Business Fax Number: | |
| Mailing Address: | 954 Brookside Cir, STOUGHTON |
| State: | WI |
| Postal Code: | 535894111 |
| Phone Number: | 6088736422 |
| Fax Number: | |
| NPI Enumeration Date: | 12/15/2006 |
| NPI Last Update Date: | 06/06/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | 1191-123 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WI |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |