| Fox Valley Mental Health, L.l.c. | |
|
2924 Scenic Dr Oshkosh WI 54904-7641 | |
| (920) 203-5742 | |
| Not Available |
| Full Name | Fox Valley Mental Health, L.l.c. |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 2924 Scenic Dr, Oshkosh, Wisconsin |
| Authorized Official Name and Position | Maria Luisa Baldomero-concepcion (PSYCHIATRIST) |
| Authorized Official Contact | 9202035742 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fox Valley Mental Health, L.l.c. 2924 Scenic Dr Oshkosh WI 54904-7641 Ph: (920) 203-5742 | Fox Valley Mental Health, L.l.c. 2924 Scenic Dr Oshkosh WI 54904-7641 Ph: (920) 203-5742 |
| NPI Number | 1639211469 |
|---|---|
| Provider Enumeration Date | 02/12/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639211469 | NPI | - | NPPES |
| 1639239486 | Other | WI | NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 43051-020 (Wisconsin) | Primary |
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