| Organization Name: | BELL THERAPY CSP |
| NPI Number: | 1043344146 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | SHERILYN CATHERINE DE FAZIO (NURSE) |
| Mailing Address: | 5500 8th Ave Kenosha |
| State: | WI US |
| Postal Code: | 531403700 |
| Phone Number: | 2625640067 |
| Fax Number: | |
| NPI Enumeration Date: | 03/14/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WP0809X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WI |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | Psych/Mental Health, Adult |
| Taxonomy Definition: | |