Provider Demographics
NPI:1427065770
Name:HROBSKY, DANIEL C (LPC)
Entity type:Individual
Prefix:MR
First Name:DANIEL
Middle Name:C
Last Name:HROBSKY
Suffix:
Gender:M
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1233 N MAYFAIR RD
Mailing Address - Street 2:SUITE 206
Mailing Address - City:WAUWATOSA
Mailing Address - State:WI
Mailing Address - Zip Code:53226-3255
Mailing Address - Country:US
Mailing Address - Phone:414-476-1772
Mailing Address - Fax:414-476-3424
Practice Address - Street 1:1233 N MAYFAIR RD
Practice Address - Street 2:SUITE 206
Practice Address - City:WAUWATOSA
Practice Address - State:WI
Practice Address - Zip Code:53226-3255
Practice Address - Country:US
Practice Address - Phone:414-476-1772
Practice Address - Fax:414-476-3424
Is Sole Proprietor?:No
Enumeration Date:2006-08-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI3192-125101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI40970100Medicaid