| Doctor Name: | PEGGY SUE SKOLD |
| NPI Number: | 1194187955 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | CSAC |
| License Number: | 15863-132 |
| Business Practice Address: | 24248 State Road 35 70 Unit D Siren, WI - 548725001 |
| Business Phone Number: | 7153497233 |
| Business Fax Number: | 7153497205 |
| Mailing Address: | 108 W 2nd St N, LADYSMITH |
| State: | WI |
| Postal Code: | 548481338 |
| Phone Number: | 7155329771 |
| Fax Number: | 7155329774 |
| NPI Enumeration Date: | 03/22/2016 |
| NPI Last Update Date: | 03/22/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YA0400X |
| License Number: | 15863-132 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WI |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Addiction (Substance Use Disorder) |
| Taxonomy Definition: | |