Staszak, Tina

Staszak, Tina is an individual health care provider with primary practice located at 5235 N Ironwood Rd , Glendale WI 53217-4906. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder). Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Staszak, Tina can be contacted via phone (414) 902-1519.

Contact Information

Primary practice address
5235 N Ironwood Rd Glendale WI 53217-4906
Phone: (414) 902-1519
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 3348-226 Wisconsin
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 17478-130 Wisconsin

Profile Details

NPI number 1962946095
LBN Legal business name Staszak, Tina
Credentials LPC-IT
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 8th, 2016
Last updated Dec 8th, 2016 - about 10 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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