Doctor Name: | MARY CYNTHIA DYGERT |
NPI Number: | 1487650362 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LCSW |
License Number: | 34001958A |
Business Practice Address: | 119 W Market St Columbia City, IN - 467252311 |
Business Phone Number: | 2602488176 |
Business Fax Number: | 2602482366 |
Mailing Address: | 850 N Harrison St, Attn: Anne Lawson WARSAW |
State: | IN |
Postal Code: | 465803163 |
Phone Number: | 5742677169 |
Fax Number: | 5742682377 |
NPI Enumeration Date: | 06/24/2005 |
NPI Last Update Date: | 12/29/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 34001958A |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IN |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |