Doctor Name: | MS. GRETCHEN LIEBERMAN WITMAN |
NPI Number: | 1861586117 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MSW |
License Number: | CW014156 |
Business Practice Address: | 13 Saint John St Schuylkill Haven, PA - 179721652 |
Business Phone Number: | 5703858490 |
Business Fax Number: | 5703858491 |
Mailing Address: | 13 Saint John St, SCHUYLKILL HAVEN |
State: | PA |
Postal Code: | 179721652 |
Phone Number: | 5703858490 |
Fax Number: | 5703858491 |
NPI Enumeration Date: | 10/03/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | CW014156 |
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 |