Most Relevant Information
Provider Data
| NPI Number: | 1003268277 |
| Provider Name: | STEPHANIE PATTENGALE LPC |
| Entity Type: | Individual |
| Taxonomy Code: | 101YP2500X |
| Specialty: | Counselor |
| License Number: | 6124 |
Most Important Dates
| Enumeration Date: | 07/12/2016 |
| Last Updated: | 07/12/2016 |
Provider Practice Location
721 AMERICAN AVE
STE 501
WAUKESHA
WI
531885071
Practice Location Phone/Fax
| Phone: | 2629284036 |
| Fax: |
Provider Mailing Location
721 AMERICAN AVE
STE 501
WAUKESHA
WI
531885071
Provider Mailing Phone/Fax
| Phone: | 2629284036 |
| Fax: |