Provider Demographics
NPI:1437509767
Name:SCHIFERL, MEGAN (LPC-IT)
Entity type:Individual
Prefix:
First Name:MEGAN
Middle Name:
Last Name:SCHIFERL
Suffix:
Gender:F
Credentials:LPC-IT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:150 MORNINGSIDE ORCHARD DR
Mailing Address - Street 2:#4
Mailing Address - City:OCONOMOWOC
Mailing Address - State:WI
Mailing Address - Zip Code:53066-3573
Mailing Address - Country:US
Mailing Address - Phone:605-521-9075
Mailing Address - Fax:
Practice Address - Street 1:250 N SUNNY SLOPE RD
Practice Address - Street 2:SUITE 203
Practice Address - City:BROOKFIELD
Practice Address - State:WI
Practice Address - Zip Code:53005-4809
Practice Address - Country:US
Practice Address - Phone:262-782-2820
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-06-17
Last Update Date:2016-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI3078 - 226101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health