Provider Demographics
NPI:1710633615
Name:TEUTEBERG, LINDSEY (PLMHP, MT-BC)
Entity type:Individual
Prefix:
First Name:LINDSEY
Middle Name:
Last Name:TEUTEBERG
Suffix:
Gender:F
Credentials:PLMHP, MT-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:209 N CHARLES ST
Mailing Address - Street 2:
Mailing Address - City:WAUKESHA
Mailing Address - State:WI
Mailing Address - Zip Code:53186-5508
Mailing Address - Country:US
Mailing Address - Phone:414-303-9758
Mailing Address - Fax:
Practice Address - Street 1:726 N EAST AVE STE H
Practice Address - Street 2:
Practice Address - City:WAUKESHA
Practice Address - State:WI
Practice Address - Zip Code:53186-4807
Practice Address - Country:US
Practice Address - Phone:414-215-0365
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-03-01
Last Update Date:2025-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE14197101YM0800X
225A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No225A00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMusic Therapist