Brophy, Samantha M

Brophy, Samantha M is an individual health care provider with primary practice located at 2020 W Wells Street , Milwaukee WI 53233. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Brophy, Samantha M can be contacted via phone (414) 937-2251.

Contact Information

Primary practice address
2020 W Wells Street Milwaukee WI 53233
Phone: (414) 937-2251
Fax: (414) 937-2021
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 104.036 Wisconsin

Profile Details

NPI number 1710243118
LBN Legal business name Brophy, Samantha M
Credentials ART THERAPIST / LPC
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 10th, 2012
Last updated Nov 24th, 2014 - about 12 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1710243118 NPPES
Other 104-036 WI ART THERAPY LICENSE
Other 5300-125 WI ART THERAPY LICENSE

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