Doctor Name: | WENDY SHARPE TAGGART |
NPI Number: | 1164561510 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LMSW, ACSW. CHT |
License Number: | 6801065246 |
Business Practice Address: | 3300 S Adams Rd Auburn Hills, MI - 483263304 |
Business Phone Number: | 2485373300 |
Business Fax Number: | 2485373306 |
Mailing Address: | 25 N North Shore Dr, LAKE ORION |
State: | MI |
Postal Code: | 483623058 |
Phone Number: | 2486288908 |
Fax Number: | 2486935247 |
NPI Enumeration Date: | 02/05/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 6801065246 |
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 |