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General NPI Number Information
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NPI Number | 1437221470
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Entity Type | Organization
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Legal Business Name | BEHREND COUNSELING AND PSYCHOLOGICAL SERVICES LLC
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Dates
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Enumeration Date | 11/14/2006
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Last Update Date | 12/21/2015
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Provider Practice Location Address
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Address Line | 301 S BEDFORD ST SUITE 4
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City | MADISON
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State | WI
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Zip | 53703-3691
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Country | US
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Telephone | 608-834-6400
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Fax |
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Provider Business Mailing Address
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Address Line | 850 SCHUSTER ROAD
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City | SUN PRAIRIE
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State | WI
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Zip | 53590-2437
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Country | US
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Telephone | 608-834-6400
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Fax |
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Authorized Official
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Title or Position | PSYCHOLOGIST OWNER
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Name | DR. JEANNE MARIE BEHREND
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Credential | PH.D.
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Telephone | 608-834-6400
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC1900X
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Taxonomy Name | Counseling Psychologist
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License Number | 1113057
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License Number State | WI
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Taxonomy #2
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Taxonomy Code | 103TC2200X
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Taxonomy Name | Clinical Child & Adolescent Psychologist
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License Number | 1113057
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License Number State | WI
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Taxonomy #3
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Taxonomy Code | 103TB0200X
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Taxonomy Name | Cognitive & Behavioral Psychologist
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License Number | 1113057
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License Number State | WI
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