Doctor Name: | MRS. ROSE CECILIA RYBKA |
NPI Number: | 1558618959 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LCSW |
License Number: | 149.015372 |
Business Practice Address: | 16104 Penny Ln Homer Glen, IL - 604918040 |
Business Phone Number: | 7089417711 |
Business Fax Number: | |
Mailing Address: | 16104 Penny Ln, HOMER GLEN |
State: | IL |
Postal Code: | 604918040 |
Phone Number: | 7089417711 |
Fax Number: | |
NPI Enumeration Date: | 08/06/2012 |
NPI Last Update Date: | 11/14/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 149.015372 |
Healthcare Provider Taxonomy: (Secondary) | Y |
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 |