MEDICARE: CORY D TISCHMAN

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
1	106H00000X	Marriage & Family Therapist	987-124	WI

General Provider Information

NPI Number	:	1427307750
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CORY D TISCHMAN

Provider Business Mailing Address
First Line	:	2004 HIGHLAND AVE STE O
Second Line	:
City	:	EAU CLAIRE
State	:	WI
Zip	:	54701-4389
Country	:	US
Telephone Number	:	715-255-1117
Fax Number	:	320-640-9261

Provider Business Practice Location Address
First Line	:	2004 HIGHLAND AVE STE O
Second Line	:
City	:	EAU CLAIRE
State	:	WI
Zip	:	54701-4389
Country	:	US
Telephone Number	:	715-255-1117
Fax Number	:	320-640-9261

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/31/2012
Last Update Date	:	01/30/2025

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Directions to “ CORY D TISCHMAN ” Practice Location

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