Doctor Name: | MS. JANE N. OLLENDORFF |
NPI Number: | 1912900069 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | R.N., M.S.W. |
License Number: | SW001305 |
Business Practice Address: | 8128 Cornell Ct University City, MO - 631303639 |
Business Phone Number: | 3147217057 |
Business Fax Number: | 3143875592 |
Mailing Address: | 8128 Cornell Ct, UNIVERSITY CITY |
State: | MO |
Postal Code: | 631303639 |
Phone Number: | 3147217057 |
Fax Number: | 3143875592 |
NPI Enumeration Date: | 05/23/2005 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | SW001305 |
Healthcare Provider Taxonomy: (Secondary) | X |
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 |