James L Salasek in Fond Du Lac - Psychologist
James L Salasek - NPI 1629088018
James L Salasek is a Psychologist in Fond Du Lac, Wisconsin. James L Salasek practices all healthcare services and medical treatments related to Psychologist. The NPI Number for James L Salasek is 1629088018. The last update date is 2007-07-08.
James L Salasek's current location address is 430 E Division St, Fond Du Lac, Wisconsin. You can contact this provider via phone number 9209264200 and fax number 9209268885. The mailing address for James L Salasek is 430 E Division St, Fond Du Lac, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | James L Salasek |
|---|---|
| Address | 430 E Division St, Fond Du Lac, Wisconsin |
| Phone Number | 9209264200 |
| Fax Number | 9209268885 |
| Sole Proprietor | N |
| Credentials | PHD |
NPI Number Detail
| NPI Number | 1629088018 |
|---|---|
| Provider Enumeration Date | 2006-08-08 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 430 E Division St |
|---|---|
| City | Fond Du Lac |
| State | Wisconsin (WI) |
| Post Code | 549354560 |
| Phone Number | 9209264200 |
| Fax Number | 9209268885 |
Provider's Primary Taxonomy Detail
| Speciality | Psychologist |
|---|---|
| Taxonomy | 103T00000X |
| Licence No | 1387 |
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Definition: A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and proce |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 39092000 | WI | -- |
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What is the unique 10-digit identifier code issued to James L Salasek by the Centers for Medicare & Medicaid Services?
The James L Salasek has been assigned the NPI (National Provider Identifier) 1629088018 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Can you provide the James L Salasek's physical address?
The James L Salasek is physically located at 430 E Division St, in the city of Fond Du Lac, WI, with the postal code 549354560.
What is the James L Salasek's specialty and taxonomy code?
The James L Salasek's specialty is Psychologist, and the corresponding taxonomy code is 103T00000X.
When did James L Salasek receive its 1629088018 assignment?
The James L Salasek was assigned its 1629088018 on 2006-08-08, which is the date when this unique identifier was issued to the organization.
As of what date was the information regarding James L Salasek, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to James L Salasek, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.