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Randall L Daut, PHD
Health Service Psychologist in Fort Atkinson, Wisconsin
NPI 1568493500

Randall L Daut is a Health Service Psychologist based in Fort Atkinson, WI and is specialized in Health Service. Randall L Daut practices in Fort Atkinson, WI and has the professional credentials of PHD. The NPI Number for Randall L Daut is 1568493500 and holds a License No. 801-057 (Wisconsin).

The current practice location address for Randall L Daut is 509 Mcmillen St, Fort Atkinson, WI and can be reached out via phone at 920-563-7995 and via fax at 920-568-6047.

Location: 509 Mcmillen St, Fort Atkinson, WI, 53538-1263
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1568493500
Provider Name
Randall L Daut
Credential
PHD
Provider Entity Type
Individual
Gender
Male
Address
509 Mcmillen St, Fort Atkinson, WI, 53538-1263
Phone Number
920-563-7995
Fax Number
920-568-6047
Provider Enumeration Date
07/06/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
39025900 05 WI
institution
Provider Business Practice Location Address Details
Address
509 Mcmillen St
City
Fort Atkinson
State
Wisconsin
Zip
53538-1263
Phone Number
920-563-7995
Fax Number
920-568-6047
person
Provider Business Mailing Address Details
Address
509 Mcmillen St
City
Fort Atkinson
State
Wisconsin
Zip
53538-1263
Phone Number
920-563-7995
Fax Number
920-568-6047
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Psychologist
Speciality
-
Taxonomy
103T00000X
License No.
801-057 (Wisconsin)
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Psychologist
Speciality
Health Service
Taxonomy
103TH0100X
License No.
801-057 (Wisconsin)
Definition
A psychologist, certified/licensed at the independent practice level in his/her state, who is duly trained and experienced in the delivery of direct, preventative, assessment, and therapeutic intervention services to individuals whose growth, adjustment, or functioning is actually impaired or is demonstrably at high risk of impairment (1974).
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