Doctor Name: | MARY LOUISE ECKER |
NPI Number: | 1235291063 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LCSW |
License Number: | 4803 |
Business Practice Address: | 120 Omni Dr Mc Minnville, TN - 371101331 |
Business Phone Number: | 9314739649 |
Business Fax Number: | 9314734223 |
Mailing Address: | 118 N Church St, MURFREESBORO |
State: | TN |
Postal Code: | 371303636 |
Phone Number: | 6152782241 |
Fax Number: | 6159049182 |
NPI Enumeration Date: | 12/15/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 4803 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TN |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |