Amunson, Mary Elizabeth
Amunson, Mary Elizabeth is an individual health care provider with primary practice located at 12425 Knoll Rd Ste 110 West Grove Clinic, Elm Grove WI 53122. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Amunson, Mary Elizabeth can be contacted via phone (262) 780-9788.Contact Information
Primary practice address
12425 Knoll Rd Ste 110 West Grove Clinic
Elm Grove WI 53122
Phone: (262) 780-9788
Fax: (262) 432-0045
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | 2534125 | Wisconsin |
Profile Details
| NPI number | 1689772667 |
|---|---|
| LBN Legal business name | Amunson, Mary Elizabeth |
| Credentials | Licensed Professional Counselor (LPC) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 21st, 2006 |
| Last updated | Jul 8th, 2007 - about 19 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1689772667 | NPPES |
| Wisconsin | MEDICAID | 39402800 |
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