Anima Family Counseling, LLC
Organization Active NPI Psychiatry Physician · Green Bay, WI
NPI 1083871503 · NPPES record last updated May 21, 2008
Key facts
- NPI
- 1083871503
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Psychiatry Physician 2084P0800X
- Legal business name
- ANIMA FAMILY COUNSELING, LLC
- Practice address
- 2475 University Ave
Suite a
Green Bay, WI 54302-5099 - Phone
- (920) 469-1201
- NPI assigned
- May 21, 2008
- Organization subpart
- No
Authorized official
- Name
- Dr. Neil Fullan, MD
- Title
- President
- Phone
- (920) 371-6494
National Provider Directory
Locations
840 Willard Dr
Ste 102
Green Bay, WI 54304
Phone (920) 497-0783
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician |
2084P0800X | Yes |
Addresses
Primary practice location
2475 University Ave
Suite a
Green Bay, WI 54302-5099
Mailing address
2475 University Ave
Suite a
Green Bay, WI 54302-5099
Phone (920) 469-1201
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All providers in Green Bay, WI · Psychiatry Physician in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 21, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.