Doctor Name: | MS. TAMMY G DELBRUEGGE |
NPI Number: | 1821042284 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MSW, LCSW |
License Number: | 005861 |
Business Practice Address: | 2745 High Ridge Blvd Suite #13 High Ridge, MO - 630492200 |
Business Phone Number: | 6363437460 |
Business Fax Number: | |
Mailing Address: | 4404 Schumacher Rd, HIGH RIDGE |
State: | MO |
Postal Code: | 630492818 |
Phone Number: | 3633437460 |
Fax Number: | |
NPI Enumeration Date: | 05/20/2006 |
NPI Last Update Date: | 04/18/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 005861 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MO |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |