Wald, Tanya Marie
Wald, Tanya Marie is an individual health care provider with primary practice located at 400 W River Dr , West Bend WI 53090-1567. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Art Therapist. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Wald, Tanya Marie can be contacted via phone (262) 338-2717.Contact Information
Primary practice address
400 W River Dr
West Bend WI 53090-1567
Phone: (262) 338-2717
Fax: (262) 338-9767
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Professional | 101YP2500X | 4507-125 | Wisconsin |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Art Therapist | 221700000X | 103-036 | Wisconsin |
Profile Details
NPI number | 1144526260 |
---|---|
LBN Legal business name | Wald, Tanya Marie |
Credentials | ATR, LPC |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Feb 7th, 2011 |
Last updated | Feb 15th, 2011 - about 13 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.
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