Individual
MS. PHYLLIS ANN LARDINOIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LPC
Contact information
Practice address
3200 W HIGHLAND BLVD, MILWAUKEE, WI 53208-3252
(414) 614-9204
Mailing address
12308 W DIANE DR, WAUWATOSA, WI 53226-3359
(414) 614-9204
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
1627125
WI
101YS0200X
School Counselor
L635000118158
WI
106H00000X
Marriage & Family Therapist
Primary
907
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
26-1704319
INTERNAL REVENUE SERVICE
WI
Enumeration date
05/04/2008
Last updated
09/27/2025
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