Provider Demographics
NPI:1891487591
Name:HEPPE, REBECCA LYNN (MS)
Entity Type:Individual
Prefix:
First Name:REBECCA
Middle Name:LYNN
Last Name:HEPPE
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:REBECCA
Other - Middle Name:LYNN
Other - Last Name:ZDROJEWSKI
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MS
Mailing Address - Street 1:W62N248 WASHINGTON AVE STE 207
Mailing Address - Street 2:
Mailing Address - City:CEDARBURG
Mailing Address - State:WI
Mailing Address - Zip Code:53012-2765
Mailing Address - Country:US
Mailing Address - Phone:262-375-1116
Mailing Address - Fax:
Practice Address - Street 1:W62N248 WASHINGTON AVE STE 207
Practice Address - Street 2:
Practice Address - City:CEDARBURG
Practice Address - State:WI
Practice Address - Zip Code:53012-2765
Practice Address - Country:US
Practice Address - Phone:262-375-1116
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-05-22
Last Update Date:2023-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health