National Provider Identifier

Debra Lee Retzlaff

Debra Lee Retzlaff is listed in the NPPES registry with a primary specialty of Clinical Social Worker in North Tonawanda, NY and a listed phone number of (716) 693-9961.

NPI 1164508701North Tonawanda, NYClinical Social Worker

Profile Overview

NPI
1164508701
Provider Type
Individual
Primary Specialty
Clinical Social Worker
Enumeration Date
October 27, 2006
Last Updated
July 08, 2007

Practice Location

  • 89 River RD # B
  • North Tonawanda, NY 14120-5713

Phone: (716) 693-9961

Mailing Address

  • 2031 Old Coomer RD
  • Burt, NY 14028-9735

Specialties

  • Clinical Social Worker (1041C0700X)
Full Record
NPI
1164508701
Entity Type
Individual
Last Name
Retzlaff
First Name
Debra
Middle Name
Lee
Mailing Street Address
2031 Old Coomer RD
Mailing City
Burt
Mailing State
NY
Mailing ZIP Code
14028-9735
Mailing Country
US
Mailing Phone
(716) 778-8337
Practice Street Address
89 River RD # B
Practice City
North Tonawanda
Practice State
NY
Practice ZIP Code
14120-5713
Practice Country
US
Practice Phone
(716) 693-9961
Enumeration Date
October 27, 2006
Last Updated
July 08, 2007
Sex
Female
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Clinical Social Worker (1041C0700X)