| Fox Valley Psychiatry Ltd. | |
|
4321 W College Ave Ste 200 Appleton WI 54914-3968 | |
| (920) 882-7780 | |
| (920) 214-1187 |
| Full Name | Fox Valley Psychiatry Ltd. |
|---|---|
| Speciality | Psychiatry & Neurology - Child & Adolescent Psychiatry |
| Location | 4321 W College Ave Ste 200, Appleton, Wisconsin |
| Authorized Official Name and Position | Eric Soucy Rueff (PRESIDENT/OWNER) |
| Authorized Official Contact | 9208827780 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fox Valley Psychiatry Ltd. 4321 W College Ave Ste 200 Appleton WI 54914-3968 Ph: (920) 882-7780 | Fox Valley Psychiatry Ltd. 4321 W College Ave Ste 200 Appleton WI 54914-3968 Ph: (920) 882-7780 |
| NPI Number | 1306614987 |
|---|---|
| Provider Enumeration Date | 12/13/2023 |
| Last Update Date | 07/29/2024 |
| Certification Date | 07/19/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306614987 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Secondary |
| 2084P0804X | Psychiatry & Neurology - Child & Adolescent Psychiatry | (* (Not Available)) | Primary |
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