TED IZYDOR, LPC
Counselor - Professional
Active
Individual
NPI: 1275501140
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Counselor - Addiction (Substance Use Disorder) | 101YA0400X | No | 14034-132 (WI) |
| Counselor - Professional | 101YP2500X | Yes | 2878 (WI) |
Frequently Asked Questions
NPI 1275501140 is the National Provider Identifier for TED IZYDOR, LPC, a Counselor - Professional provider located in Madison, WI. This NPI was enumerated on March 8, 2006.
TED IZYDOR, LPC practices at 128 E OLIN AVE, SUITE 100, Madison, WI 53713.
Quick Facts
- NPI
- 1275501140
- Type
- Individual
- Enumerated
- Mar 8, 2006
- Last Updated
- Oct 21, 2011
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