Goldblatt, Maureen R

Goldblatt, Maureen R is an individual health care provider with primary practice located at 16535 W Bluemound Rd Ste 200 , Brookfield WI 53005-5906. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Goldblatt, Maureen R can be contacted via phone (262) 789-1191.

Contact Information

Primary practice address
16535 W Bluemound Rd Ste 200 Brookfield WI 53005-5906
Phone: (262) 789-1191
Fax: (262) 821-6180
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X E0700276 Ohio
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 11371-132 Wisconsin
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 3162-125 Wisconsin

Profile Details

NPI number 1275791345
LBN Legal business name Goldblatt, Maureen R
Credentials LPC, CSAC
Entity Individual
Sole proprietor 1 No
Enumeration date May 27th, 2008
Last updated Feb 2nd, 2022 - about 3 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 1275791345 NPPES
Wisconsin MEDICAID 40909800

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