Doctor Name: | DAVID DATI |
NPI Number: | 1346381241 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | L.C.S.W., L.M.F.T. |
License Number: | 2507-123 |
Business Practice Address: | E1475 Owens Dr. La Valle, WI - 539419529 |
Business Phone Number: | 6089857187 |
Business Fax Number: | 6089858187 |
Mailing Address: | E1475 Owens Dr., LA VALLE |
State: | WI |
Postal Code: | 539419529 |
Phone Number: | 6089857187 |
Fax Number: | 6089858187 |
NPI Enumeration Date: | 02/12/2007 |
NPI Last Update Date: | 07/09/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 2507-123 |
Healthcare Provider Taxonomy: (Secondary) | X |
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 |