Deanne W. Archer, LMFT, PT
Individual provider Active NPI Marriage & Family Therapist · Fort Dodge, IA
NPI 1386889202 · NPPES record last updated Dec 5, 2008
Key facts
- NPI
- 1386889202
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Marriage & Family Therapist 106H00000X
- License
- 000312 (IA)
- Practice address
- 1321 2ND Ave S
Fort Dodge, IA 50501-4925 - Phone
- (515) 576-4156
- Fax
- (515) 576-6998
- NPI assigned
- Dec 5, 2008
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 000312 | IA | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Catholic Charities of the Diocese of Sioux City | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 000312 | IA | Yes |
Addresses
Primary practice location
1321 2ND Ave S
Fort Dodge, IA 50501-4925
Mailing address
1321 2ND Ave S
Fort Dodge, IA 50501-4925
Phone (515) 576-4156
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All providers in Fort Dodge, IA · Marriage & Family Therapist in Iowa
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 5, 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.