Individual
MS. LISA A. ROEHL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, CPC
Contact information
Practice address
1155 N MAYFAIR RD, DEPARTMENT OF PSYCHIATRY, MILWAUKEE, WI 53226-3462
(414) 955-8900
(414) 955-6285
Mailing address
1155 N MAYFAIR RD, DEPARTMENT OF PSYCHIATRY, MILWAUKEE, WI 53226-3462
(414) 955-8900
(414) 955-6285
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2946
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1457501173
—
WI
05
—
43568500
—
WI
Enumeration date
09/30/2008
Last updated
11/02/2012
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