Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. MARY LOUISE FAWCETT, PH.D.
Deactivated Sole ProprietorDR. MARY LOUISE FAWCETT, PH.D. is a Counselor healthcare provider located in WINONA, Minnesota. NPI 1043428840 is deactivated in the NPPES registry. Verify at CMS.
Counselor · WINONA, MN
This NPI has been deactivated.
The record was deactivated on November 19, 2012.
Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated.
Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.
Registration Details
- NPI Number
- 1043428840
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- May 18, 2007 (5.5068493150685 yrs)
- Last Updated
- Oct 14, 2020
- Deactivated
- Nov 19, 2012
- License
-
2163 (NC)
- Sole Proprietor
- Yes
Practice Information
- Address
-
36261 CEDAR RIDGE DRWINONA, MN, 559875910Browse MN providers · Browse ZIP 55987
- Phone
- 5074526945
- Primary Specialty
-
Counselor
101Y00000X
Other Counselor Providers in WINONA, MN
| Name | Credential | NPI |
|---|---|---|
| MARK C BRONSON | MS LICSW | 1073695912 |
| KARI CASSEL STETZER | — | 1437303377 |
| ERIN GLAWE ANDERSON | M.S. | 1144455239 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.