Doctor Name: | COLLEEN DEMPSEY |
NPI Number: | 1316316060 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LSW |
License Number: | I.1500521 |
Business Practice Address: | 9734 Jug St Nw Pataskala, OH - 430629746 |
Business Phone Number: | 9373695305 |
Business Fax Number: | |
Mailing Address: | 1468 Wilson Ave, COLUMBUS |
State: | OH |
Postal Code: | 432063176 |
Phone Number: | 9373695305 |
Fax Number: | |
NPI Enumeration Date: | 09/23/2015 |
NPI Last Update Date: | 10/12/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | I.1500521 |
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 |