Dorothy A Fonstad is a Counselor in Appleton, Wisconsin. Dorothy A Fonstad practices all healthcare services and medical treatments related to Counselor. The NPI Number for Dorothy A Fonstad is 1639246382. The last update date is 2018-02-21.
Dorothy A Fonstad's current location address is 711 N Lynndale Dr Ste 1a, Appleton, Wisconsin. You can contact this provider via phone number 9205604525 and fax number 9205606618. The mailing address for Dorothy A Fonstad is 711 N Lynndale Dr Ste 1a, Appleton, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Dorothy A Fonstad |
|---|---|
| Address | 711 N Lynndale Dr Ste 1a, Appleton, Wisconsin |
| Phone Number | 9205604525 |
| Fax Number | 9205606618 |
| Sole Proprietor | N |
| Credentials | MSE, LCSW, |
NPI Number Detail
| NPI Number | 1639246382 |
|---|---|
| Provider Enumeration Date | 2006-11-29 |
| Last Updated Date | 2018-02-21 |
Provider Mailing Address Detail
| Address | 711 N Lynndale Dr Ste 1a |
|---|---|
| City | Appleton |
| State | Wisconsin (WI) |
| Post Code | 549143078 |
| Phone Number | 9205604525 |
| Fax Number | 9205606618 |
Provider's Primary Taxonomy Detail
| Speciality | Counselor |
|---|---|
| Taxonomy | 101Y00000X |
| Licence No | 3182-123 |
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Definition: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supe |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 39787600 | WI | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Dorothy A Fonstad by the Centers for Medicare & Medicaid Services?
The Dorothy A Fonstad has been issued the NPI (National Provider Identifier) 1639246382 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you kindly provide the complete physical address where Dorothy A Fonstad's facilities are geographically located?
The facilities of Dorothy A Fonstad are physically situated at the following location: 711 N Lynndale Dr Ste 1A, Appleton, WI, 549143078.
What is Dorothy A Fonstad's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Dorothy A Fonstad is Counselor, and the corresponding taxonomy classification code for this specialized field is 101Y00000X.
On what date did the Dorothy A Fonstad receive the assignment of its 1639246382 from the Centers for Medicare & Medicaid Services?
The Dorothy A Fonstad was issued its 1639246382 by the Centers for Medicare & Medicaid Services on 2006-11-29.
As of what date were the details pertaining to Dorothy A Fonstad last refreshed?
The information related to the Dorothy A Fonstad, including its address, specialty, and other relevant details, was last updated on 2018-02-21.
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