Provider Demographics
NPI:1063306264
Name:BRITZMAN, LEA ANN
Entity type:Individual
Prefix:
First Name:LEA
Middle Name:ANN
Last Name:BRITZMAN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8439 MARLO AVE UNIT 5
Mailing Address - Street 2:
Mailing Address - City:NEENAH
Mailing Address - State:WI
Mailing Address - Zip Code:54956-3288
Mailing Address - Country:US
Mailing Address - Phone:608-343-7371
Mailing Address - Fax:
Practice Address - Street 1:1486 KENWOOD DR STE 101
Practice Address - Street 2:
Practice Address - City:MENASHA
Practice Address - State:WI
Practice Address - Zip Code:54952-1133
Practice Address - Country:US
Practice Address - Phone:608-343-7321
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-06-04
Last Update Date:2025-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI8429-226101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health