| Doctor Name: | JEANIE PANFELD |
| NPI Number: | 1386717650 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LMSW |
| License Number: | LMSW 26453 |
| Business Practice Address: | 102 School St Converse, TX - 781091320 |
| Business Phone Number: | 2109451260 |
| Business Fax Number: | |
| Mailing Address: | Po Box 781013, SAN ANTONIO |
| State: | TX |
| Postal Code: | 782781013 |
| Phone Number: | 2102409389 |
| Fax Number: | |
| NPI Enumeration Date: | 11/16/2006 |
| NPI Last Update Date: | 08/31/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041S0200X |
| License Number: | LMSW 26453 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TX |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | School |
| Taxonomy Definition: | |