BARRY DEXTER CSAC NPI 1437160447

NPI Information

NPI: 1437160447
Provider Name: BARRY DEXTER, CSAC
Classification: Counselor - 101YA0400X
Entity Type: Individual

Specialization: Addiction (Substance Use Disorder)

Address:
1100 LAKE VIEW DR
WAUSAU, WI
ZIP 54403
Phone: (715) 848-4600
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Barry Dexter, CSAC is an addiction (substance use disorder) counselor in Wausau, WI. Barry Dexter, CSAC NPI is 1437160447. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1100 LAKE VIEW DR
WAUSAU, WI
ZIP 54403-785
Phone: (715) 848-4600
Fax: (715) 845-5398

The enumeration date for this NPI number is 8/11/2006 and was last updated on 4/15/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	104100000X	Social Worker		1583-120	WISCONSIN	No
2	101YA0400X	Counselor	Addiction (Substance Use Disorder)	2087	WISCONSIN	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	2087-132	OTHER	WISCONSIN	STATE LICENSE
2	1583-120	OTHER	WISCONSIN	STATE LICENSE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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