Doctor Name: | HEATHER LATTA MAY |
NPI Number: | 1982917456 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 149.011337 |
Business Practice Address: | 618 W Main St Teutopolis, IL - 624671210 |
Business Phone Number: | 2178573186 |
Business Fax Number: | |
Mailing Address: | 618 W Main St, TEUTOPOLIS |
State: | IL |
Postal Code: | 624671210 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 07/26/2010 |
NPI Last Update Date: | 07/26/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 149.011337 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | IL |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |