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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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.

Request for update

Popular Providers