Individual
DAVID PTASZEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
3999 FORT CAMPBELL BLVD, HOPKINSVILLE, KY 42240-4929
(270) 886-2205
(270) 886-0392
Mailing address
PO BOX 614, HOPKINSVILLE, KY 42241-0614
(270) 886-2205
(270) 886-0392
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
78
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30602015
—
KY
Enumeration date
02/21/2014
Last updated
02/21/2014
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