Doctor Name: | AMY EILERS |
NPI Number: | 1508098757 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LCSW |
License Number: | 149.009659 |
Business Practice Address: | 110 N Elm Ave Webster Groves, MO - 631192418 |
Business Phone Number: | 3149183335 |
Business Fax Number: | 3149181521 |
Mailing Address: | 1733 Meadow Ln, EDWARDSVILLE |
State: | IL |
Postal Code: | 620253949 |
Phone Number: | 6185584557 |
Fax Number: | |
NPI Enumeration Date: | 08/20/2009 |
NPI Last Update Date: | 08/27/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 149.009659 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | IL |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |