MEDICARE: BRIDGET LANGER MS

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	101YP2500X	Professional Counselor	4270-125	WI

General Provider Information

NPI Number	:	1477730133
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BRIDGET LANGER MS

Provider Business Mailing Address
First Line	:	3073 S CHASE AVE
Second Line	:	SUITE 240
City	:	MILWAUKEE
State	:	WI
Zip	:	53207-2667
Country	:	US
Telephone Number	:	414-231-4021
Fax Number	:	414-489-0540

Provider Business Practice Location Address
First Line	:	3073 S CHASE AVE
Second Line	:	SUITE 240
City	:	MILWAUKEE
State	:	WI
Zip	:	53207-2667
Country	:	US
Telephone Number	:	414-231-4021
Fax Number	:	414-489-0540

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

Provider Enumeration Date	:	01/24/2008
Last Update Date	:	11/09/2012

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Directions to “ BRIDGET LANGER MS” Practice Location

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