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Contact Information

RENE A BURGOYNE, MS, ATRL-BC
12970 W BLUEMOUND RD
SUITE 308
ELM GROVE, WI53122-2607
 Phone: 262-780-1020
 Fax: 262-780-1022
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Professional

101YP2500X
 

Art Therapist

221700000X
Indicates primary specialty

NPI Profile & details for RENE A BURGOYNE · (Female)

NPI # 1952493470
Status Active
Credentials MS, ATRL-BC
Entity Individual
Enumeration date 09/29/2006
Last updated 09/18/2008 - About 18 years ago
Sole proprietor 1 No
Identifiers
  • WI License # 3853-125
  • WI License # 66-036
  • WI Medicaid 40967900
  • WI Other 66-036 ART THERAPIST
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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