Doctor Name: | BETH L DENELL |
NPI Number: | 1548436454 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 6801093056 |
Business Practice Address: | 703 N 2nd Ave Iron River, MI - 499351451 |
Business Phone Number: | 9062655126 |
Business Fax Number: | |
Mailing Address: | 715 Pyle Dr, KINGSFORD |
State: | MI |
Postal Code: | 498024456 |
Phone Number: | 9067740522 |
Fax Number: | 9067741570 |
NPI Enumeration Date: | 05/01/2008 |
NPI Last Update Date: | 06/01/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 6801093056 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MI |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |