Doctor Name: | MICHELLE GEBHART |
NPI Number: | 1205247087 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LISW-S |
License Number: | I10086-S |
Business Practice Address: | 121 N Barron St Suite C Eaton, OH - 453201780 |
Business Phone Number: | 9374562805 |
Business Fax Number: | |
Mailing Address: | Po Box 750, 121 N. Barron St. Suite C EATON |
State: | OH |
Postal Code: | 453200750 |
Phone Number: | 9374562805 |
Fax Number: | |
NPI Enumeration Date: | 05/14/2014 |
NPI Last Update Date: | 05/14/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | I10086-S |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OH |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |