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NPI Code Detail

MEDICARE: PAMELA ZIEGLER LPC

MEDICARE: PAMELA ZIEGLER LPC
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 Counselor4610-125WI

General Provider Information

NPI Number : 1710266564
Entity Type Code : Individual
Provider Name (Legal Business Name) : PAMELA ZIEGLER LPC
Provider Business Mailing Address
First Line : 330 GREEN BAY RD
Second Line :
City : THIENSVILLE
State : WI
Zip : 53092-1302
Country : US
Telephone Number : 414-640-1993
Fax Number :
Provider Business Practice Location Address
First Line : 10850 W PARK PL
Second Line : SUITE 100
City : MILWAUKEE
State : WI
Zip : 53224-3606
Country : US
Telephone Number : 262-542-3255
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/10/2011
Last Update Date : 08/10/2011

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Directions to “ PAMELA ZIEGLER LPC” Practice Location

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