Doctor Name: | MS. DONNA M. TATNALL |
NPI Number: | 1427040773 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LCSW |
License Number: | C003739 |
Business Practice Address: | 100 Jervey Rd Tryon, NC - 287823642 |
Business Phone Number: | 8288590492 |
Business Fax Number: | 8288590492 |
Mailing Address: | 335 Rondo Ridge Rd, TRYON |
State: | NC |
Postal Code: | 287826657 |
Phone Number: | 8288597099 |
Fax Number: | 8288590492 |
NPI Enumeration Date: | 08/22/2005 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | C003739 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NC |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |