Doctor Name: | MS. VICKI BUDD-DARBY |
NPI Number: | 1154450088 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MSW |
License Number: | MOSW005387 |
Business Practice Address: | 6403 Clayton Rd Richmond Heights, MO - 631171810 |
Business Phone Number: | 3144951096 |
Business Fax Number: | |
Mailing Address: | 3008 Ridgeview Dr, SAINT LOUIS |
State: | MO |
Postal Code: | 631214543 |
Phone Number: | 3145106056 |
Fax Number: | |
NPI Enumeration Date: | 03/05/2007 |
NPI Last Update Date: | 02/09/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | MOSW005387 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MO |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |