Doctor Name: | STEPHANIE LEIB MIGDAL |
NPI Number: | 1144430364 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LCSW |
License Number: | 211 |
Business Practice Address: | 321 W Fairview Ave Homer, AK - 996037034 |
Business Phone Number: | 9072354847 |
Business Fax Number: | |
Mailing Address: | Po Box 1446, HOMER |
State: | AK |
Postal Code: | 996031446 |
Phone Number: | 9072354847 |
Fax Number: | |
NPI Enumeration Date: | 05/23/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 211 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AK |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |