Provider Demographics
NPI:1942231584
Name:FORRESTER, DANNY LOWELL (PHD, LMSW)
Entity Type:Individual
Prefix:
First Name:DANNY
Middle Name:LOWELL
Last Name:FORRESTER
Suffix:
Gender:M
Credentials:PHD, LMSW
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Mailing Address - Street 1:150 KREIGER DR
Mailing Address - Street 2:
Mailing Address - City:SKANDIA
Mailing Address - State:MI
Mailing Address - Zip Code:49885-9408
Mailing Address - Country:US
Mailing Address - Phone:906-361-1551
Mailing Address - Fax:888-551-2613
Practice Address - Street 1:100 MALTON RD
Practice Address - Street 2:
Practice Address - City:NEGAUNEE
Practice Address - State:MI
Practice Address - Zip Code:49866-2001
Practice Address - Country:US
Practice Address - Phone:906-485-2347
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-05
Last Update Date:2022-11-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI68010097131041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
800012590OtherRAILROAD RETIREMENT
MIDF009713OtherBLUE SHIELD