Doctor Name: | MRS. CHRISTY LYNN TUBBS |
NPI Number: | 1437312733 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LMSW |
License Number: | 069120-1 |
Business Practice Address: | 312 Stonecrest Dr De Witt, NY - 132142433 |
Business Phone Number: | 3154254400 |
Business Fax Number: | 3154253774 |
Mailing Address: | 312 Stonecrest Dr, DE WITT |
State: | NY |
Postal Code: | 132142433 |
Phone Number: | 3154254400 |
Fax Number: | 3154253774 |
NPI Enumeration Date: | 07/07/2008 |
NPI Last Update Date: | 07/07/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 069120-1 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |