Basic Information
Provider Information
NPI: 1710117957
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: HOLSCHER
FirstName: STEVI
MiddleName: A.
NamePrefix:  
NameSuffix:  
Credential: MSW
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 515 BAYOU ST
Address2:  
City: VINCENNES
State: IN
PostalCode: 475911034
CountryCode: US
TelephoneNumber: 8128866800
FaxNumber: 8128866809
Practice Location
Address1: 2007 STATE ST
Address2:  
City: WASHINGTON
State: IN
PostalCode: 475018505
CountryCode: US
TelephoneNumber: 8122541558
FaxNumber: 8122548308
Other Information
ProviderEnumerationDate: 07/22/2009
LastUpdateDate: 07/22/2009
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
104100000X99038241AINY Behavioral Health & Social Service ProvidersSocial Worker 

No ID Information.


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