Provider Demographics
NPI:1144861188
Name:LAUBENSTEIN, JULIE ANNE (MS LMFT-IT)
Entity type:Individual
Prefix:
First Name:JULIE
Middle Name:ANNE
Last Name:LAUBENSTEIN
Suffix:
Gender:F
Credentials:MS LMFT-IT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:N19W24400 RIVERWOOD DR STE 350
Mailing Address - Street 2:
Mailing Address - City:WAUKESHA
Mailing Address - State:WI
Mailing Address - Zip Code:53188-1182
Mailing Address - Country:US
Mailing Address - Phone:262-674-7009
Mailing Address - Fax:
Practice Address - Street 1:N19W24400 RIVERWOOD DR STE 350
Practice Address - Street 2:
Practice Address - City:WAUKESHA
Practice Address - State:WI
Practice Address - Zip Code:53188-1182
Practice Address - Country:US
Practice Address - Phone:262-674-7009
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-10-01
Last Update Date:2019-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI707-228106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist