Provider Demographics
NPI:1861655482
Name:PSYCHOLOGY ASSOCIATES OF THE FOX CITIES
Entity Type:Organization
Organization Name:PSYCHOLOGY ASSOCIATES OF THE FOX CITIES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL AND FORENSIC PSYCHOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:FRANK
Authorized Official - Middle Name:
Authorized Official - Last Name:CUMMINGS
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:920-738-9999
Mailing Address - Street 1:2557A E CALUMET ST
Mailing Address - Street 2:
Mailing Address - City:APPLETON
Mailing Address - State:WI
Mailing Address - Zip Code:54915-4748
Mailing Address - Country:US
Mailing Address - Phone:920-738-9999
Mailing Address - Fax:920-738-9901
Practice Address - Street 1:2557A E CALUMET ST
Practice Address - Street 2:
Practice Address - City:APPLETON
Practice Address - State:WI
Practice Address - Zip Code:54915-4748
Practice Address - Country:US
Practice Address - Phone:920-738-9999
Practice Address - Fax:920-738-9901
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-07-03
Last Update Date:2008-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)