Healthcare Provider Details

I. General information

NPI: 1457393647
Provider Name (Legal Business Name): FRANCES KAY MEASELLS DSW
Entity Type: Individual
Gender: Female
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 06/12/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

USAG STUTTGART, ARMY SUBSTANCE ABUSE PROGRAM BLDG. 2948 ROOM 212
BOEBLINGEN GERMANY
71032
DE

IV. Provider business mailing address

71134 AIDLINGEN-LEHANWEILER HAUPSTRAUSSE 6/6
LEHANWEILER-AIDLINGER GERMANY
09128
DE

V. Phone/Fax

Practice location:
  • Phone: 07031152530
  • Fax: 07031152764
Mailing address:
  • Phone: 07034288679
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number121933-3501
License Number StateUT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: