| Doctor Name: | DR. RICHARD EARL AVERBECK |
| NPI Number: | 1205133824 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PHD |
| License Number: | 1592-125 |
| Business Practice Address: | 7941 112th Ave Pleasant Prairie, WI - 531581204 |
| Business Phone Number: | 2626971877 |
| Business Fax Number: | |
| Mailing Address: | 10731 W Forest Home Ave, HALES CORNERS |
| State: | WI |
| Postal Code: | 531302555 |
| Phone Number: | 4145294600 |
| Fax Number: | |
| NPI Enumeration Date: | 02/16/2011 |
| NPI Last Update Date: | 02/16/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | 1592-125 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WI |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |