Doctor Name: | SHANA BECKER-LINDOW |
NPI Number: | 1699960187 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | |
Business Practice Address: | 50 Prairie Ave Prairie Du Sac, WI - 535781541 |
Business Phone Number: | 6086433147 |
Business Fax Number: | 6086433178 |
Mailing Address: | 50 Prairie Ave, PRAIRIE DU SAC |
State: | WI |
Postal Code: | 535781541 |
Phone Number: | 6086433147 |
Fax Number: | 6086433178 |
NPI Enumeration Date: | 09/08/2007 |
NPI Last Update Date: | 09/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |