CARISSA LYN DIETZLER LPC NPI 1124354048

NPI Information

NPI: 1124354048
Provider Name: CARISSA LYN DIETZLER, LPC
Classification: Counselor - 101YP2500X
Entity Type: Individual

Specialization: Professional

Address:
6001 RESEARCH PARK BLVD
MADISON, WI
ZIP 53719
Phone: (608) 263-6100
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Carissa Lyn Dietzler, LPC is a professional counselor in Madison, WI. Carissa Lyn Dietzler, LPC NPI is 1124354048. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

6001 RESEARCH PARK BLVD
MADISON, WI
ZIP 53719-176
Phone: (608) 263-6100
Fax: (608) 262-9246

The enumeration date for this NPI number is 10/28/2009 and was last updated on 2/23/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YP2500X	Counselor	Professional	5422	WISCONSIN	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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