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NPI Code Detail

MEDICARE: MRS. REBECCA SIMON SOMMERFIELD MA, LPC

MEDICARE:  MRS. REBECCA SIMON SOMMERFIELD  MA, LPC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health Counselor3586-125WI

General Provider Information

NPI Number : 1588604763
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. REBECCA SIMON SOMMERFIELD MA, LPC
Provider Business Mailing Address
First Line : 3159 N HUMBOLDT BLVD
Second Line :
City : MILWAUKEE
State : WI
Zip : 53212-2227
Country : US
Telephone Number : 414-374-0641
Fax Number :
Provider Business Practice Location Address
First Line : 1545 S LAYTON BLVD
Second Line :
City : MILWAUKEE
State : WI
Zip : 53215-1924
Country : US
Telephone Number : 414-671-5926
Fax Number : 414-645-7850
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/07/2006
Last Update Date : 07/08/2007

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Directions to “ MRS. REBECCA SIMON SOMMERFIELD MA, LPC” Practice Location

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