Provider Demographics
NPI:1467177113
Name:BIRKENMEIER, DOROTHY ELIZABETH
Entity type:Individual
Prefix:
First Name:DOROTHY
Middle Name:ELIZABETH
Last Name:BIRKENMEIER
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 1:33 ANN ST
Mailing Address - Street 2:
Mailing Address - City:RICE LAKE
Mailing Address - State:WI
Mailing Address - Zip Code:54868-2265
Mailing Address - Country:US
Mailing Address - Phone:715-736-1000
Mailing Address - Fax:
Practice Address - Street 1:33 ANN ST
Practice Address - Street 2:
Practice Address - City:RICE LAKE
Practice Address - State:WI
Practice Address - Zip Code:54868-2265
Practice Address - Country:US
Practice Address - Phone:715-736-1000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-10-05
Last Update Date:2025-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX84501101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional