Doctor Name: | MR. THEODORE C BIERBAUER |
NPI Number: | 1669582003 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | LCSW |
License Number: | CW000900L |
Business Practice Address: | 716 E 2nd St Oil City, PA - 163012330 |
Business Phone Number: | 8146774005 |
Business Fax Number: | 8146776159 |
Mailing Address: | 716 E 2nd St, OIL CITY |
State: | PA |
Postal Code: | 163012330 |
Phone Number: | 8146774005 |
Fax Number: | 8146776159 |
NPI Enumeration Date: | 08/30/2006 |
NPI Last Update Date: | 07/09/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | CW000900L |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |