Randall L Daut in Fort Atkinson - Health Service
Randall L Daut - NPI 1568493500
Randall L Daut is a Health Service in Fort Atkinson, Wisconsin. Randall L Daut practices all healthcare services and medical treatments related to Health Service. The NPI Number for Randall L Daut is 1568493500. The last update date is 2007-07-08.
Randall L Daut's current location address is 509 Mcmillen St, Fort Atkinson, Wisconsin. You can contact this provider via phone number 9205637995 and fax number 9205686047. The mailing address for Randall L Daut is 509 Mcmillen St, Fort Atkinson, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Randall L Daut |
|---|---|
| Address | 509 Mcmillen St, Fort Atkinson, Wisconsin |
| Phone Number | 9205637995 |
| Fax Number | 9205686047 |
| Sole Proprietor | N |
| Credentials | PHD |
NPI Number Detail
| NPI Number | 1568493500 |
|---|---|
| Provider Enumeration Date | 2006-07-06 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 509 Mcmillen St |
|---|---|
| City | Fort Atkinson |
| State | Wisconsin (WI) |
| Post Code | 535381263 |
| Phone Number | 9205637995 |
| Fax Number | 9205686047 |
Provider's Primary Taxonomy Detail
| Speciality | Health Service |
|---|---|
| Taxonomy | 103Th0100X |
| Licence No | 801-057 |
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Definition: A psychologist, certified/licensed at the independent practice level in his/her state, who is duly trained and experienced in the delivery of direct, preventative, assessment, and therapeutic intervention services to individuals whose growth, adjustm |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 39025900 | WI | -- |
Post Comment/ Review Below
What is the Randall L Daut's 1568493500?
The Randall L Daut's NPI (National Provider Identifier) Number is 1568493500. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Randall L Daut is physically located?
The Randall L Daut is physically situated at the following address: 509 Mcmillen St, Fort Atkinson, WI, 535381263.
What is the area of specialization for Randall L Daut, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Randall L Daut is Health Service, and the corresponding taxonomy code that categorizes this area of expertise is 103Th0100X.
On what date did the Randall L Daut receive the assignment of its 1568493500 from the Centers for Medicare & Medicaid Services?
The Randall L Daut was issued its 1568493500 by the Centers for Medicare & Medicaid Services on 2006-07-06.
When was the information related to Randall L Daut most recently updated or refreshed?
The details pertaining to the Randall L Daut, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-08.
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