Gudmunsen, Stephanie

Gudmunsen, Stephanie is an individual health care provider with primary practice located at 333 E Washington St Suite 2000, West Bend WI 53095-2585. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Gudmunsen, Stephanie can be contacted via phone (262) 335-4545.

Contact Information

Primary practice address
333 E Washington St Suite 2000 West Bend WI 53095-2585
Phone: (262) 335-4545
Fax: (262) 335-6827
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 7293-123 Wisconsin

Profile Details

NPI number 1407941446
LBN Legal business name Gudmunsen, Stephanie
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 4th, 2006
Last updated May 21st, 2009 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1407941446 NPPES
Wisconsin MEDICAID 40994900

Popular Providers