Healthcare Provider Details
I. General information
NPI: 1750309282
Provider Name (Legal Business Name): ANN MARIE FICHTINGER MA
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 07/17/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1250 EAST BUISNESS HWY 151 STE D
PLATTEVILLE WI
53818
US
IV. Provider business mailing address
917 WHISPERING LN
HAZEL GREEN WI
53811
US
V. Phone/Fax
- Phone: 608-348-4060
- Fax: 608-348-4191
- Phone: 608-748-4724
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 103T00000X |
| Taxonomy | Psychologist |
| License Number | 2669 |
| License Number State | WI |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 103T00000X |
| Taxonomy | Psychologist |
| License Number | 00136 |
| License Number State | IA |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 101YM0800X |
| Taxonomy | Mental Health Counselor |
| License Number | 2669 |
| License Number State | WI |
| # 4 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 101YM0800X |
| Taxonomy | Mental Health Counselor |
| License Number | 00136 |
| License Number State | IA |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: