Tutskey, Lisa M

Tutskey, Lisa M is an individual health care provider with primary practice located at 3860 Monroe Rd , De Pere WI 54115-8399. She recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, which is considered as her primary health care specialty. Tutskey, Lisa M can be contacted via phone (920) 496-4700.

Contact Information

Primary practice address
3860 Monroe Rd De Pere WI 54115-8399
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 696-124 West Virginia

Profile Details

NPI number 1750305462
LBN Legal business name Tutskey, Lisa M
Credentials MS, LMFT
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 26th, 2006
Last updated Mar 14th, 2024 - about last year

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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1750305462 NPPES
Wisconsin MEDICAID 42105100

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