Doctor Name: | TERRY BETH DEVRIES |
NPI Number: | 1952348344 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LCSW |
License Number: | LCS13577 |
Business Practice Address: | 16 Bryson Dr Sutter Creek, CA - 956854118 |
Business Phone Number: | 2092679801 |
Business Fax Number: | 2092679801 |
Mailing Address: | 25964 Sylvan Rd, PIONEER |
State: | CA |
Postal Code: | 956669479 |
Phone Number: | 2092954133 |
Fax Number: | 2092679872 |
NPI Enumeration Date: | 06/02/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | LCS13577 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |