Healthcare Provider Details

I. General information

NPI: 1447161971
Provider Name (Legal Business Name): SYDNEY DAW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/14/2026
Last Update Date: 09/14/2026
Certification Date: 09/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

325 N COMMERCIAL ST
NEENAH WI
54956-2665
US

IV. Provider business mailing address

325 N COMMERCIAL ST
NEENAH WI
54956-2665
US

V. Phone/Fax

Practice location:
  • Phone: 920-725-1230
  • Fax:
Mailing address:
  • Phone: 920-725-1230
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number9286-226
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: