Doctor Name: | MS. DOTTIE WARD WIMMER |
NPI Number: | 1801086798 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LPC |
License Number: | PC003922 |
Business Practice Address: | 3442 Eagle Dr Scotland, PA - 172540208 |
Business Phone Number: | 7172673344 |
Business Fax Number: | |
Mailing Address: | 4332 Eagle Dr. Po, Po Box 208 SCOTLAND |
State: | PA |
Postal Code: | 172540208 |
Phone Number: | 7172673344 |
Fax Number: | |
NPI Enumeration Date: | 07/27/2007 |
NPI Last Update Date: | 07/27/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | PC003922 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |