Provider Demographics
NPI:1043927122
Name:ZUEHLSDORF, MEGAN (LPC-IT)
Entity Type:Individual
Prefix:
First Name:MEGAN
Middle Name:
Last Name:ZUEHLSDORF
Suffix:
Gender:F
Credentials:LPC-IT
Other - Prefix:
Other - First Name:MEGAN
Other - Middle Name:
Other - Last Name:PARNELL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:W348N5818 SNAPDRAGON CT
Mailing Address - Street 2:
Mailing Address - City:OCONOMOWOC
Mailing Address - State:WI
Mailing Address - Zip Code:53066-6725
Mailing Address - Country:US
Mailing Address - Phone:414-334-1492
Mailing Address - Fax:
Practice Address - Street 1:2600 N MAYFAIR RD STE 650
Practice Address - Street 2:
Practice Address - City:WAUWATOSA
Practice Address - State:WI
Practice Address - Zip Code:53226-1322
Practice Address - Country:US
Practice Address - Phone:414-771-9304
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-10-31
Last Update Date:2022-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI7127226101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional