Provider Demographics
NPI:1194980896
Name:TROEGER, STAREEN (LMFT, MSMFT, MSED)
Entity type:Individual
Prefix:MRS
First Name:STAREEN
Middle Name:
Last Name:TROEGER
Suffix:
Gender:F
Credentials:LMFT, MSMFT, MSED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:W177N9856 RIVERCREST DR STE 251
Mailing Address - Street 2:
Mailing Address - City:GERMANTOWN
Mailing Address - State:WI
Mailing Address - Zip Code:53022-4612
Mailing Address - Country:US
Mailing Address - Phone:414-454-0344
Mailing Address - Fax:
Practice Address - Street 1:W177N9856 RIVERCREST DR STE 251
Practice Address - Street 2:
Practice Address - City:GERMANTOWN
Practice Address - State:WI
Practice Address - Zip Code:53022-4612
Practice Address - Country:US
Practice Address - Phone:414-454-0344
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-07-22
Last Update Date:2011-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI853-124106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
264501548OtherEMPLOYEE IDENTIFICATION NUMBER