| Doctor Name: | JOSEPH PAUL WEIDENBENNER |
| NPI Number: | 1235382490 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | L.P.C, M.A. |
| License Number: | 4370-125 |
| Business Practice Address: | 6400 Gisholt Dr Monona, WI - 537134835 |
| Business Phone Number: | 6082231506 |
| Business Fax Number: | 6082231745 |
| Mailing Address: | 416 Franklin St, 1 SAUK CITY |
| State: | WI |
| Postal Code: | 535831266 |
| Phone Number: | 6083704169 |
| Fax Number: | |
| NPI Enumeration Date: | 10/30/2008 |
| NPI Last Update Date: | 06/02/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | 4370-125 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WI |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |