| Fvatp Integrated Services, LLC | |
|
4 N Systems Dr Appleton WI 54914-6402 | |
| (920) 205-0475 | |
| Not Available |
| Full Name | Fvatp Integrated Services, LLC |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 4 N Systems Dr, Appleton, Wisconsin |
| Authorized Official Name and Position | Staci Ferg (OWNER) |
| Authorized Official Contact | 9202050475 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fvatp Integrated Services, LLC 4 N Systems Dr Appleton WI 54914-6402 Ph: (920) 205-0475 | Fvatp Integrated Services, LLC 4 N Systems Dr Appleton WI 54914-6402 Ph: (920) 205-0475 |
| NPI Number | 1366362055 |
|---|---|
| Provider Enumeration Date | 07/21/2026 |
| Last Update Date | 07/21/2026 |
| Certification Date | 07/21/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366362055 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | () | Primary |
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