Healthcare Provider Details
I. General information
NPI: 1922547587
Provider Name (Legal Business Name): TAYLOR JAN ARNDORFER LMFT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 02/15/2017
Last Update Date: 07/30/2026
Certification Date: 07/30/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
8383 GREENWAY BLVD STE 500
MIDDLETON WI
53562-3529
US
IV. Provider business mailing address
8383 GREENWAY BLVD STE 500
MIDDLETON WI
53562-3529
US
V. Phone/Fax
- Phone: 608-274-0355
- Fax: 608-274-5546
- Phone: 608-274-0355
- Fax: 608-274-5546
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 106H00000X |
| Taxonomy | Marriage & Family Therapist |
| License Number | 1280-124 |
| License Number State | WI |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: