Liebenow, Matthew

Liebenow, Matthew is an individual health care provider with primary practice located at W175N11120 Stonewood Dr , Germantown WI 53022-6511. He recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as his primary health care specialty. Liebenow, Matthew can be contacted via phone (262) 345-5533.

Contact Information

Primary practice address
W175N11120 Stonewood Dr Germantown WI 53022-6511
Phone: (262) 345-5533
Fax: (262) 293-9737
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 8167-125 Wisconsin

Profile Details

NPI number 1750863833
LBN Legal business name Liebenow, Matthew
Credentials Licensed Professional Counselor (LPC)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 5th, 2018
Last updated Apr 29th, 2021 - about 3 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 1750863833 NPPES
Wisconsin MEDICAID 100081483

Popular Providers