Goranson, Nancy L

Goranson, Nancy L is an individual health care provider with primary practice located at 430 E Division St , Fond Du Lac WI 54935-4560. She recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as her primary health care specialty. Goranson, Nancy L can be contacted via phone (920) 926-4200.

Contact Information

Primary practice address
430 E Division St Fond Du Lac WI 54935-4560
Phone: (920) 926-4200
Fax: (920) 926-8885
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 1826 Wisconsin

Profile Details

NPI number 1265442669
LBN Legal business name Goranson, Nancy L
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 8th, 2006
Last updated Oct 27th, 2022 - about 2 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1265442669 NPPES
Wisconsin MEDICAID 39131800

Popular Providers