DR. Domenick Tirabassi IV, PSYD

NPI #1023662459 in Fond Du Lac, Wisconsin

Provider Information

NPI Number: 1023662459
Entity Type: Individual
Name: DR. Domenick Tirabassi IV, PSYD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Psychologist
Credential: PSYD
Enumeration Date: Jul 24, 2019
Last Updated: Aug 31, 2024

Practice Location

Address: 420 E DIVISION ST
City: Fond Du Lac
State: Wisconsin
ZIP Code: 54935-4560
Phone: (920) 926-8492

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist	103T00000X	Primary

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