Provider Demographics
NPI:1194972018
Name:SCRIBA, CLAIRE HANEY (LMFT)
Entity type:Individual
Prefix:
First Name:CLAIRE
Middle Name:HANEY
Last Name:SCRIBA
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:678 BEAR TRAP LN
Mailing Address - Street 2:
Mailing Address - City:AMERY
Mailing Address - State:WI
Mailing Address - Zip Code:54001-5107
Mailing Address - Country:US
Mailing Address - Phone:715-554-1490
Mailing Address - Fax:
Practice Address - Street 1:678 BEAR TRAP LN
Practice Address - Street 2:
Practice Address - City:AMERY
Practice Address - State:WI
Practice Address - Zip Code:54001-5107
Practice Address - Country:US
Practice Address - Phone:715-554-1490
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-08-21
Last Update Date:2008-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI784-124106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist