Provider Demographics
NPI:1497437305
Name:BUEGE, DENISE MARIE (PSYD)
Entity Type:Individual
Prefix:
First Name:DENISE
Middle Name:MARIE
Last Name:BUEGE
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:N3026 FOX HOLLOW DR
Mailing Address - Street 2:
Mailing Address - City:LA CROSSE
Mailing Address - State:WI
Mailing Address - Zip Code:54601-2742
Mailing Address - Country:US
Mailing Address - Phone:608-799-4286
Mailing Address - Fax:
Practice Address - Street 1:N3026 FOX HOLLOW DR
Practice Address - Street 2:
Practice Address - City:LA CROSSE
Practice Address - State:WI
Practice Address - Zip Code:54601-2742
Practice Address - Country:US
Practice Address - Phone:608-799-4286
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-08-01
Last Update Date:2023-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI2563103TC0700X
NC2563103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty