Doctor Name: | VISUNDA SHAY GIDDY |
NPI Number: | 1356363816 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LCSW, LMFT, CADAC |
License Number: | 1027C |
Business Practice Address: | 422 Dd Cox Boulevard Sheffield, AL - 35660 |
Business Phone Number: | 2563819055 |
Business Fax Number: | |
Mailing Address: | 422 Dd Cox Boulevard, SHEFFIELD |
State: | AL |
Postal Code: | 35660 |
Phone Number: | 2563819055 |
Fax Number: | 2563816101 |
NPI Enumeration Date: | 07/24/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 1027C |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AL |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |