Doctor Name: | DR. JEFFREY L GARBELMAN |
NPI Number: | 1235161373 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PHD |
License Number: | 3643125 |
Business Practice Address: | 108 N Lincoln Ave Beaver Dam, WI - 53916 |
Business Phone Number: | 9208878751 |
Business Fax Number: | |
Mailing Address: | 1508 E Main St, WATERTOWN |
State: | WI |
Postal Code: | 53094 |
Phone Number: | 9203241154 |
Fax Number: | |
NPI Enumeration Date: | 07/07/2006 |
NPI Last Update Date: | 09/12/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | 3643125 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | WI |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |