Provider Demographics
NPI:1134200579
Name:HADLEY, LOIS ANN (MSW)
Entity type:Individual
Prefix:
First Name:LOIS
Middle Name:ANN
Last Name:HADLEY
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:LOIS
Other - Middle Name:ANN
Other - Last Name:MULKEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MSW
Mailing Address - Street 1:508 CAMPUS ST
Mailing Address - Street 2:SUITE 6
Mailing Address - City:MILTON
Mailing Address - State:WI
Mailing Address - Zip Code:53563-1750
Mailing Address - Country:US
Mailing Address - Phone:608-868-5122
Mailing Address - Fax:608-868-5122
Practice Address - Street 1:508 CAMPUS ST
Practice Address - Street 2:SUITE 6
Practice Address - City:MILTON
Practice Address - State:WI
Practice Address - Zip Code:53563-1750
Practice Address - Country:US
Practice Address - Phone:608-868-5122
Practice Address - Fax:608-868-5122
Is Sole Proprietor?:No
Enumeration Date:2006-10-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI13221041C0700X
WI52106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Not Answered106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist