MS. DEANNA L DITTLOFF NPI 1083790240

NPI Information

  • NPI: 1083790240
  • Provider Name: MS. DEANNA L DITTLOFF
  • Classification: Counselor - 101YP2500X
  • Specialization: Professional
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1325 ANGELS PATH
    DE PERE, WI
    ZIP 54115
  • Phone: (920) 338-2855

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NPI Details

MS. Deanna L Dittloff is a professional counselor in De Pere, WI with 13 years of experience. MS. Deanna L Dittloff NPI is 1083790240. 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:

1325 ANGELS PATH
DE PERE, WI
ZIP 54115-050
Phone: (920) 338-2855
Fax: (920) 338-9270

The NPI 1083790240 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

The enumeration date for this NPI number is 10/31/2006 and was last updated on 11/23/2020.

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
1101YP2500XCounselorProfessional5795-125WISCONSINYes

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: 11/21/2025

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