Tirabassi, Domenick
Tirabassi, Domenick is an individual health care provider with primary practice located at 420 E Division St , Fond Du Lac WI 54935-4560. He recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as his primary health care specialty. Tirabassi, Domenick can be contacted via phone (920) 926-8492.Contact Information
Primary practice address
420 E Division St
Fond Du Lac WI 54935-4560
Phone: (920) 926-8492
Fax: (920) 926-8903
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | 5089-57 | Wisconsin |
Profile Details
| NPI number | 1023662459 |
|---|---|
| LBN Legal business name | Tirabassi, Domenick |
| Credentials | PSYD |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 24th, 2019 |
| Last updated | Aug 31st, 2023 - about last year |
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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