Provider Demographics
NPI:1669559068
Name:MCCOY, FAITH ANN (BS)
Entity type:Individual
Prefix:MS
First Name:FAITH ANN
Middle Name:
Last Name:MCCOY
Suffix:
Gender:F
Credentials:BS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:421 NEBRASKA ST
Mailing Address - Street 2:DOOR COUNTY COMMUNITY PROGRAMS C/O CHRIS VOIGT
Mailing Address - City:STURGEON BAY
Mailing Address - State:WI
Mailing Address - Zip Code:54235-2225
Mailing Address - Country:US
Mailing Address - Phone:920-746-2345
Mailing Address - Fax:920-746-2439
Practice Address - Street 1:421 NEBRASKA ST
Practice Address - Street 2:DOOR COUNTY COMMUNITY PROGRAMS C/O CHRIS VOIGT
Practice Address - City:STURGEON BAY
Practice Address - State:WI
Practice Address - Zip Code:54235-2225
Practice Address - Country:US
Practice Address - Phone:920-746-2345
Practice Address - Fax:920-746-2439
Is Sole Proprietor?:No
Enumeration Date:2006-11-01
Last Update Date:2011-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator