Healthcare Provider Details

I. General information

NPI: 1669670261
Provider Name (Legal Business Name): LESLIE SCHOEN M.S. LMFT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/05/2007
Last Update Date: 04/28/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

501 S CHERRY AVE SUITE 5
MARSHFIELD WI
54449-4263
US

IV. Provider business mailing address

2925 MONDOVI RD
EAU CLAIRE WI
54701-6141
US

V. Phone/Fax

Practice location:
  • Phone: 715-486-8302
  • Fax:
Mailing address:
  • Phone: 715-832-0238
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number839-124
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: