Provider Demographics
NPI:1134394497
Name:FOYER, DOREEN ANN (LCSW)
Entity type:Individual
Prefix:MRS
First Name:DOREEN
Middle Name:ANN
Last Name:FOYER
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:S68W18089 ISLAND DRIVE
Mailing Address - Street 2:
Mailing Address - City:MUSKEGO
Mailing Address - State:WI
Mailing Address - Zip Code:53150-9606
Mailing Address - Country:US
Mailing Address - Phone:262-679-1003
Mailing Address - Fax:262-679-1004
Practice Address - Street 1:S68W18089 ISLAND DRIVE
Practice Address - Street 2:
Practice Address - City:MUSKEGO
Practice Address - State:WI
Practice Address - Zip Code:53150-9606
Practice Address - Country:US
Practice Address - Phone:262-679-1003
Practice Address - Fax:262-679-1004
Is Sole Proprietor?:Yes
Enumeration Date:2008-04-28
Last Update Date:2008-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI3980-1231041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI39740100Medicaid