ANITA JOAN VAN DYKE LPC NPI 1104403104

NPI Information

NPI: 1104403104
Provider Name: ANITA JOAN VAN DYKE, LPC
Classification: Counselor - 101YP2500X
Entity Type: Individual

Specialization: Professional

Address:
9425 ELDERBERRY RD # 9425
MIDDLETON, WI
ZIP 53562
Phone: (319) 329-5149
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Anita Joan Van Dyke, LPC is a professional counselor in Middleton, WI. Anita Joan Van Dyke, LPC NPI is 1104403104. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

9425 ELDERBERRY RD # 9425
MIDDLETON, WI
ZIP 53562-365
Phone: (319) 329-5149

The enumeration date for this NPI number is 3/25/2021 and was last updated on 3/25/2021.

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	101YP2500X	Counselor	Professional	7916-125	WISCONSIN	Yes

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: 5/5/2024

NPI Synchronization or Removal

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