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Contact Information

TINA L PLOETZ, LPC
3900 W BROWN DEER RD
SUITE 200
BROWN DEER, WI53209
 Phone: 414-540-2170
 Fax: 414-540-2171
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Professional

101YP2500X
Indicates primary specialty

NPI Profile & details for TINA L PLOETZ · (Female)

NPI Number 1073608980
Status Active
Credentials LPC (Licensed Professional Counselor)
Entity Individual
Enumeration date 10/04/2006
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 No
Identifiers
  • WI License # 3409125
  • WI Medicaid 41003200
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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