Male or Other

Mr. Jeffrey Teplin LCSW (MSW)

Full Name

Mr. Jeffrey Teplin LCSW (MSW)

NPI Number

1295759777

NPI Type

Individual Provider

Gender

Male

Enumeration Date

07/27/2006

Specialties

(Taxonomies)

Code

101YA0400X
1041C0700X

Primary Taxonomy

No
No

Licenses

State

Wisconsin
Wisconsin

License Number

12140 (CADC)
2413-123

Contact
Information

Purpose

Mailing
Location

Address

16535 W BLUEMOUND RD
16535 W BLUEMOUND RD

City

Brookfield
Brookfield

State

WI
WI

Postal Code

53005-5936
53005-5936

Country

US
US

Telephone Number

(262) 542-3255
(262) 542-3255

Identifiers

Identifier

39567200

Identifier State

WI

Identifier Issuer

Unknown

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 07/09/2007

Provider Address