Doctor Name: | MRS. BRENDA ANN KRUL |
NPI Number: | 1255462388 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.S.S.A., L.I.S.W. |
License Number: | I-0009761 |
Business Practice Address: | 5706 Turney Rd Garfield Heights, OH - 441253971 |
Business Phone Number: | 2165189271 |
Business Fax Number: | 2165189298 |
Mailing Address: | 12104 Willard Ave, GARFIELD HEIGHTS |
State: | OH |
Postal Code: | 441253618 |
Phone Number: | 2166632024 |
Fax Number: | |
NPI Enumeration Date: | 03/08/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | I-0009761 |
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 |