| Doctor Name: | KAYLA MARGARET WALDSCHMIDT |
| NPI Number: | 1083742951 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MSE |
| License Number: | |
| Business Practice Address: | 1200 N Center St Lower Level-suite A Beaver Dam, WI - 539161166 |
| Business Phone Number: | 9208873172 |
| Business Fax Number: | |
| Mailing Address: | 960 Mary Ln, Apt. 5 LOMIRA |
| State: | WI |
| Postal Code: | 530489569 |
| Phone Number: | 9203607062 |
| Fax Number: | |
| NPI Enumeration Date: | 03/01/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |