Doctor Name: | DR. GERALDINE DAWSON |
NPI Number: | 1265517544 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MD, LCSW |
License Number: | CW-013802 |
Business Practice Address: | 500 School St Clarks Summit, PA - 184111508 |
Business Phone Number: | 5705863587 |
Business Fax Number: | 5705860337 |
Mailing Address: | 500 School St, CLARKS SUMMIT |
State: | PA |
Postal Code: | 184111508 |
Phone Number: | 5705863587 |
Fax Number: | 5705860337 |
NPI Enumeration Date: | 10/26/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | CW-013802 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |