Doctor Name: | MRS. SHIRLEY P. MCDONALD |
NPI Number: | 1235141714 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MSW |
License Number: | |
Business Practice Address: | 230 Main St Park Forest, IL - 604662098 |
Business Phone Number: | 7082693999 |
Business Fax Number: | 7087473941 |
Mailing Address: | 255 Rich Rd, PARK FOREST |
State: | IL |
Postal Code: | 604661629 |
Phone Number: | 7087473999 |
Fax Number: | 7087473941 |
NPI Enumeration Date: | 08/12/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IL |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |