Individual provider · Type 1 NPI

Phyllis Terry Eisenberg Ii, BS RN, MEED

Professional Counselor · Brookfield, WI

NPI number 1730236977 Active

Practice location

250 N Sunny Slope Rd, Suite 290
Brookfield, WI 53005-4809

Mailing address

PO Box 170911
Milwaukee, WI 53217-8081

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X1884-125 (WI)
Child & Adolescent Psychiatric/Mental Health Registered Nurse 163WP0807X51189-030 (WI)

Professional Counselor: Definition to come...

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About NPI 1730236977

Phyllis Terry Eisenberg Ii, BS RN, MEED's National Provider Identifier is 1730236977, issued on Jan 3, 2007. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Brookfield, WI. The record was last updated on Sep 26, 2008.