Healthcare Provider Details

I. General information

NPI: 1982614152
Provider Name (Legal Business Name): BARBARA J LONSDORF PH.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/09/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

614 N 3RD AVE SUITE A
WAUSAU WI
54401-2913
US

IV. Provider business mailing address

1320 MCINDOE ST
WAUSAU WI
54403-5083
US

V. Phone/Fax

Practice location:
  • Phone: 715-848-3031
  • Fax: 715-848-5008
Mailing address:
  • Phone: 715-848-3031
  • Fax: 715-848-5008

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number1324-123
License Number StateWI
# 2
Primary TaxonomyN
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number120-124
License Number StateWI
# 3
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number934-125
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: