Provider Demographics
NPI:1124160114
Name:PAGEL, LAURA LINDSLEY (MA, LPC)
Entity type:Individual
Prefix:
First Name:LAURA
Middle Name:LINDSLEY
Last Name:PAGEL
Suffix:
Gender:F
Credentials:MA, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:216 N WATER ST
Mailing Address - Street 2:#2
Mailing Address - City:MILWAUKEE
Mailing Address - State:WI
Mailing Address - Zip Code:53202-5762
Mailing Address - Country:US
Mailing Address - Phone:414-223-4000
Mailing Address - Fax:414-223-2660
Practice Address - Street 1:216 N WATER ST
Practice Address - Street 2:#2
Practice Address - City:MILWAUKEE
Practice Address - State:WI
Practice Address - Zip Code:53202-5762
Practice Address - Country:US
Practice Address - Phone:414-223-4000
Practice Address - Fax:414-223-2660
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI2843-125101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health