Doctor Name: | DAWN M PFLUGRADT |
NPI Number: | 1083781488 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PSY. D. |
License Number: | 7074 123 |
Business Practice Address: | 104 N Main St Ste 120 Waupaca, WI - 549811594 |
Business Phone Number: | 4145526289 |
Business Fax Number: | 9202574603 |
Mailing Address: | 104 N Main St Ste 120, WAUPACA |
State: | WI |
Postal Code: | 549811594 |
Phone Number: | 4145526289 |
Fax Number: | 9202574603 |
NPI Enumeration Date: | 11/29/2006 |
NPI Last Update Date: | 04/29/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 7074 123 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | WI |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |