Provider Demographics
NPI:1306162870
Name:LOBENSTEIN, MICHELLE L (BSSW)
Entity type:Individual
Prefix:MRS
First Name:MICHELLE
Middle Name:L
Last Name:LOBENSTEIN
Suffix:
Gender:F
Credentials:BSSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:708 ELIZABETH ST
Mailing Address - Street 2:
Mailing Address - City:BARABOO
Mailing Address - State:WI
Mailing Address - Zip Code:53913-2372
Mailing Address - Country:US
Mailing Address - Phone:608-381-0611
Mailing Address - Fax:
Practice Address - Street 1:708 ELIZABETH ST
Practice Address - Street 2:
Practice Address - City:BARABOO
Practice Address - State:WI
Practice Address - Zip Code:53913-2372
Practice Address - Country:US
Practice Address - Phone:608-381-0611
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-04-08
Last Update Date:2010-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor