Inside Out Counseling and Diagnostic Center, LLC
NPI #1366567174 in Fond Du Lac, Wisconsin
Provider Information
- NPI Number
- 1366567174
- Entity Type
- Organization
- Organization Name
- Inside Out Counseling and Diagnostic Center, LLC
- Primary Specialty
- Psychologist
- Enumeration Date
- Mar 20, 2007
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 104 S MAIN ST
- Address 2
- SUITE 711
- City
- Fond Du Lac
- State
- Wisconsin
- ZIP Code
- 54935-4269
- Phone
- (920) 322-9100
Authorized Official
- Name
- DR. PEGGY A DENNISON, PHD.
- Title
- OWNER
- Phone
- (920) 322-9100
Specialties & Taxonomy Codes
| Specialty |
|---|
| Psychologist |
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| DR. Espen Klausen, PH.D. | |
| DR. Domenick Tirabassi IV, PSYD | |
| Kayla P Dockins, PSYD | |
| Nancy L Goranson, PHD | |
| Joseph Haney, PSY.D. |
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