Doctor Name: | DR. DENNIS F GULCZYNSKI |
NPI Number: | 1487847737 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PHD |
License Number: | 3656-125 |
Business Practice Address: | 231 Woodland Beach Rd Lake Mills, WI - 535511855 |
Business Phone Number: | 9202226500 |
Business Fax Number: | 9206485625 |
Mailing Address: | 400 Brewster Dr, LAKE MILLS |
State: | WI |
Postal Code: | 535511702 |
Phone Number: | 9202226500 |
Fax Number: | 9206485625 |
NPI Enumeration Date: | 08/21/2007 |
NPI Last Update Date: | 08/21/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | 3656-125 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WI |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |