Doctor Name: | MRS. JOY DIANNE FRUCHEY |
NPI Number: | 1457689036 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MSW, LSW, CTS |
License Number: | S.0029688 |
Business Practice Address: | 1115 S Shoop Avenue Wauseon, OH - 435671912 |
Business Phone Number: | 4193356122 |
Business Fax Number: | 4193184157 |
Mailing Address: | 1115 N Shoop Ave Ste 1, WAUSEON |
State: | OH |
Postal Code: | 435671857 |
Phone Number: | 4193356122 |
Fax Number: | 4193184157 |
NPI Enumeration Date: | 11/19/2009 |
NPI Last Update Date: | 02/26/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | S.0029688 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OH |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |