Fantozzi, Donna

Fantozzi, Donna is an sole proprietor health care provider with primary practice located at 1217 Woodland Point Dr. Unit L, St. Louis MO 63146-1837. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Fantozzi, Donna can be contacted via phone (314) 906-0054.

Contact Information

Primary practice address
1217 Woodland Point Dr. Unit L St. Louis MO 63146-1837
Phone: (314) 906-0054
Fax: (314) 469-3523
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 002713 Missouri

Profile Details

NPI number 1639182801
LBN Legal business name Fantozzi, Donna
Credentials Licensed Professional Counselor (LPC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 15th, 2006
Last updated Jul 8th, 2007 - about 19 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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Identifiers

StateTypeNumberIssuer
All States NPI 1639182801 NPPES
Missouri Other 182434 BLUE CROSS BLUE SHIELD

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