Doctor Name: | SHIRLEY LIMBERG |
NPI Number: | 1053432344 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 2773-123 |
Business Practice Address: | 8618 Hwy 51 N Minocqua, WI - 54548 |
Business Phone Number: | 7153566146 |
Business Fax Number: | |
Mailing Address: | 1315 Arrowhead Dr, ARBOR VITAE |
State: | WI |
Postal Code: | 545689778 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 04/03/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | 2773-123 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WI |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |