Tanya Marie Wald, ATR, LPC

NPI #1144526260 in West Bend, Wisconsin

Provider Information

NPI Number: 1144526260
Entity Type: Individual
Name: Tanya Marie Wald, ATR, LPC
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor - Professional
Credential: ATR, LPC
Enumeration Date: Feb 7, 2011
Last Updated: Feb 15, 2011

Practice Location

Address: 400 W RIVER DR
City: West Bend
State: Wisconsin
ZIP Code: 53090-1567
Phone: (262) 338-2717

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Professional — Professional	101YP2500X	Primary
Art Therapist	221700000X

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