Organization Name: | KATHLEEN SIEGENTHALER |
NPI Number: | 1356467401 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | KATHLEEN M. SIEGENTHALER (DIRECTOR, SOLE PROPRIETOR) |
Mailing Address: | 206 Euclid Ave Monett |
State: | MO US |
Postal Code: | 657082243 |
Phone Number: | 4177730981 |
Fax Number: | |
NPI Enumeration Date: | 03/21/2007 |
NPI Last Update Date: | 07/08/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 2004011135 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MO |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |