Kory Eichers Mather Douglass
Marriage & Family Therapist in McFarland, WI. Individual provider (NPI-1).
NPI number1760097075
StatusActive
Last updated in NPPESSep 14, 2020
Details
- NPI
- 1760097075
- Entity type
- Individual (NPI-1)
- Name
- Kory Eichers Mather Douglass
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Sep 14, 2020
- Certification date
- Sep 9, 2020
- Last updated
- Sep 14, 2020
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | 754-228 | WI | Yes |
Other names
- Kory Eichers Douglass (Former Name)
Practice location
5979 Siggelkow RdMcFarland, WI 53558-9817
Phone 608-838-8999
Mailing address
760 Center StPrairie Du Sac, WI 53578-1212
Phone 414-379-5756
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Other Marriage & Family Therapist providers in McFarland, WI
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