Bertoni, Judy Wang Lue

Bertoni, Judy Wang Lue is an individual health care provider with primary practice located at 12970 W Bluemound Rd Ste 200 , Elm Grove WI 53122-2607. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Counselor. Behavioral Health & Social Service Providers / Counselor is her primary health care specialty. Bertoni, Judy Wang Lue can be contacted via phone (262) 780-1020.

Contact Information

Primary practice address
12970 W Bluemound Rd Ste 200 Elm Grove WI 53122-2607
Phone: (262) 780-1020
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 15133 Wisconsin
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 15464-132 Wisconsin
Behavioral Health & Social Service Providers / Professional 101YP2500X 1710-226 Wisconsin
Behavioral Health & Social Service Providers / Counselor 101Y00000X 7102-125 Wisconsin

Profile Details

NPI number 1215073747
LBN Legal business name Bertoni, Judy Wang Lue
Credentials CSAC, ICS, LPC
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 30th, 2007
Last updated Mar 11th, 2020 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1215073747 NPPES
Wisconsin MEDICAID 42020200

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