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NPI Code Detail

MEDICARE: DR. VANESSA HINTZ PSY.D.

MEDICARE: DR. VANESSA HINTZ PSY.D.
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
1101YM0800XMental Health Counselor

General Provider Information

NPI Number : 1467723247
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. VANESSA HINTZ PSY.D.
Provider Business Mailing Address
First Line : 10850 W PARK PL
Second Line : STE 100
City : MILWAUKEE
State : WI
Zip : 53224-3636
Country : US
Telephone Number : 262-789-1191
Fax Number : 414-359-1021
Provider Business Practice Location Address
First Line : 10850 W PARK PL STE 100
Second Line :
City : MILWAUKEE
State : WI
Zip : 53224-3636
Country : US
Telephone Number : 262-789-1191
Fax Number : 414-359-1021
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/25/2012
Last Update Date : 11/04/2019

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