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