Enderlin, Mary Catherine
Enderlin, Mary Catherine is an individual health care provider with primary practice located at 6110 N Port Washington Road The Cambridge Group, Glendale WI 53217. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Enderlin, Mary Catherine can be contacted via phone (414) 332-7400.Contact Information
Primary practice address
6110 N Port Washington Road The Cambridge Group
Glendale WI 53217
Phone: (414) 332-7400
Fax: (414) 963-6866
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 2247 057 | Wisconsin |
Profile Details
| NPI number | 1164625455 |
|---|---|
| LBN Legal business name | Enderlin, Mary Catherine |
| Credentials | PSYD |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 6th, 2007 |
| 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 | 1164625455 | NPPES |
| Wisconsin | MEDICAID | 39765000 |
Popular Providers
-
Smerz, Paul Marlin
6110 N Port Washington Rd , Glendale WI 53217-4308 -
Perlman, Gerald
41 Park Ave Ste 1D, New York NY 10016-3400 -
Noonberg, Aaron Ronald
7600 Osler Dr Ste 211, Towson MD 21204-7701 -
Katele, Jennifer M
5555 N Port Washington Rd Ste 300 , Glendale WI 53217-4928 -
Zussman, Mike
5800 N Bayshore Dr Ste A250 , Glendale WI 53217-4543 -
Sigler, Todd Michael
1935 County Road B2 W Ste 270 , Roseville MN 55113-2785 -
Polczinski, Jeffrey Lewis
5555 N Port Washington Rd Suite 304, Glendale WI 53217 -
Moulopoulos, Alexa
6110 N Port Washington Rd , Glendale WI 53217-4308