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Contact Information

SUSAN L JUNGEN
300 CROOKS STREET
GREEN BAY, WI54305-2308
 Phone: 920-436-6800
 Fax: 920-432-5966
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Addiction (Substance Use Disorder)

103TA0400X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for SUSAN L JUNGEN · (Female)

NPI # 1194811034
Status Active
Credentials
Entity Individual
Enumeration date 10/05/2006
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 No
Identifiers
  • WI Medicaid 39314500
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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