Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1041C0700X | Clinical Social Worker | CW017738 | PA |
NPI | 1003258815 |
---|---|
Provider Name | Stefania M Eichelberger |
First Address | Wyomissing, PA 19610-1208 |
Second Address | Wyomissing, PA 19610-1208 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/07/2013 |
Last Update Date | 22/07/2013 |