Doctor Name: | MELISSA VERES BJERKE |
NPI Number: | 1255537007 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LMSW |
License Number: | 36807 |
Business Practice Address: | 520 Medical Dr Guymon, OK - 739424438 |
Business Phone Number: | 5803385730 |
Business Fax Number: | 5803386115 |
Mailing Address: | 520 Medical Dr, GUYMON |
State: | OK |
Postal Code: | 739424438 |
Phone Number: | 5803385730 |
Fax Number: | 5803386115 |
NPI Enumeration Date: | 06/26/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 36807 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | TX |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |