Doctor Name: | MS. MARTHA L LIND |
NPI Number: | 1144486226 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LMSW ACSW CAAC |
License Number: | 6801070386 |
Business Practice Address: | 334 W Main St Ionia, MI - 488461650 |
Business Phone Number: | 6165279373 |
Business Fax Number: | 6165279374 |
Mailing Address: | Po Box 433, 334 W. Main Street IONIA |
State: | MI |
Postal Code: | 488460433 |
Phone Number: | 6165279373 |
Fax Number: | 6165279374 |
NPI Enumeration Date: | 07/29/2008 |
NPI Last Update Date: | 07/29/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 6801070386 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MI |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |