Doctor Name: | MS. GWENDOLYN L BUECKENDORF |
NPI Number: | 1891899472 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MSW LCSW |
License Number: | 0890000893 |
Business Practice Address: | 39 Church St Hardwick, VT - 05843 |
Business Phone Number: | 8027303131 |
Business Fax Number: | |
Mailing Address: | 1410s Albany Rd, CRAFTSBURY |
State: | VT |
Postal Code: | 058269558 |
Phone Number: | 8027303131 |
Fax Number: | |
NPI Enumeration Date: | 09/12/2006 |
NPI Last Update Date: | 08/19/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 0890000893 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | VT |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |