Shelly Lynn Dutch in Madison - Addiction (substance Use Disorder)
Shelly Lynn Dutch - NPI 1669678512
Shelly Lynn Dutch is a Addiction (substance Use Disorder) in Madison, Wisconsin. Shelly Lynn Dutch practices all healthcare services and medical treatments related to Addiction (substance Use Disorder). The NPI Number for Shelly Lynn Dutch is 1669678512. The last update date is 2007-07-08.
Shelly Lynn Dutch's current location address is 1334 Applegate Rd, Madison, Wisconsin. You can contact this provider via phone number 6082211500 and fax number 6082211515. The mailing address for Shelly Lynn Dutch is 1334 Applegate Rd, Madison, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Shelly Lynn Dutch |
|---|---|
| Address | 1334 Applegate Rd, Madison, Wisconsin |
| Phone Number | 6082211500 |
| Fax Number | 6082211515 |
| Sole Proprietor | N |
| Credentials | CSAC, ICS |
NPI Number Detail
| NPI Number | 1669678512 |
|---|---|
| Provider Enumeration Date | 2007-06-26 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1334 Applegate Rd |
|---|---|
| City | Madison |
| State | Wisconsin (WI) |
| Post Code | 537133184 |
| Phone Number | 6082211500 |
| Fax Number | 6082211515 |
Provider's Primary Taxonomy Detail
| Speciality | Addiction (substance Use Disorder) |
|---|---|
| Taxonomy | 101Ya0400X |
| Licence No | 1047-132 |
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Definition: A counselor who helps people with alcohol, drug, gambling, internet, and other types of addictions. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1047-132 | WI | CLINICAL SUB. ABUSE COUN | |
| 12230-134 | WI | INTERMEDIATE CLINICAL SUP |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Shelly Lynn Dutch by the Centers for Medicare & Medicaid Services?
The Shelly Lynn Dutch has been assigned the NPI (National Provider Identifier) 1669678512 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please share the complete physical location address where Shelly Lynn Dutch's facilities are situated?
The facilities of Shelly Lynn Dutch are physically located at the following address: 1334 Applegate Rd, Madison, WI, 537133184.
What is the area of specialization for Shelly Lynn Dutch, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Shelly Lynn Dutch is Addiction (substance Use Disorder), and the corresponding taxonomy code that categorizes this area of expertise is 101Ya0400X.
When did Shelly Lynn Dutch receive its 1669678512 assignment?
The Shelly Lynn Dutch was assigned its 1669678512 on 2007-06-26, which is the date when this unique identifier was issued to the organization.
As of what date were the Shelly Lynn Dutch's details last updated?
The information pertaining to the Shelly Lynn Dutch, including its address, specialty, and other details, was most recently updated on 2007-07-08.