Doctor Name: | JAMES L BARTLEY |
NPI Number: | 1649693623 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MSW, LMHP |
License Number: | |
Business Practice Address: | 110 S 26th St Ord, NE - 688621240 |
Business Phone Number: | 3087284200 |
Business Fax Number: | 3087285779 |
Mailing Address: | 2707 L St, ORD |
State: | NE |
Postal Code: | 688621275 |
Phone Number: | 3087284200 |
Fax Number: | 3087285779 |
NPI Enumeration Date: | 01/28/2014 |
NPI Last Update Date: | 01/28/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |