Fagen, Renee Ann
Fagen, Renee Ann is an individual health care provider with primary practice located at 1551 Indian Hills Dr , Sioux City IA 51104-1859. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Fagen, Renee Ann can be contacted via phone (712) 258-4700.Contact Information
Primary practice address
1551 Indian Hills Dr
Sioux City IA 51104-1859
Phone: (712) 258-4700
Fax: (712) 258-4777
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 088631 | Iowa |
Profile Details
| NPI number | 1619456910 |
|---|---|
| LBN Legal business name | Fagen, Renee Ann |
| Credentials | PSY.D. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 8th, 2018 |
| Last updated | Aug 8th, 2018 - about 6 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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