| Doctor Name: | MS. DEANNA L DITTLOFF |
| NPI Number: | 1083790240 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | |
| Business Practice Address: | 300 Crooks Street Green Bay, WI - 54301 |
| Business Phone Number: | 9204366800 |
| Business Fax Number: | 9204325966 |
| Mailing Address: | Po Box 22308, 300 Crooks Street GREEN BAY |
| State: | WI |
| Postal Code: | 543052308 |
| Phone Number: | 9204366800 |
| Fax Number: | 9204325966 |
| NPI Enumeration Date: | 10/31/2006 |
| NPI Last Update Date: | 04/22/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101Y00000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |