Doctor Name: | MARY-JUDE VETTER |
NPI Number: | 1760875199 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MSW, LSW |
License Number: | S0020984 |
Business Practice Address: | 10100 Elida Rd Delphos Delphos, OH - 458339056 |
Business Phone Number: | 4196958010 |
Business Fax Number: | 4196950004 |
Mailing Address: | 10100 Elida Rd, DELPHOS |
State: | OH |
Postal Code: | 458339056 |
Phone Number: | 4196958010 |
Fax Number: | 4196950004 |
NPI Enumeration Date: | 03/10/2015 |
NPI Last Update Date: | 03/10/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | S0020984 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OH |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |