Katele, Jennifer M

Katele, Jennifer M is an individual health care provider with primary practice located at 5555 N Port Washington Rd Ste 300 , Glendale WI 53217-4928. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Katele, Jennifer M can be contacted via phone (414) 962-6764.

Contact Information

Primary practice address
5555 N Port Washington Rd Ste 300 Glendale WI 53217-4928
Phone: (414) 962-6764
Fax: (414) 962-6765
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Behavioral Health & Social Service Providers / Clinical 103TC0700X 3823-057 Wisconsin

Profile Details

NPI number 1306361522
LBN Legal business name Katele, Jennifer M
Credentials PSY.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 9th, 2017
Last updated May 4th, 2022 - about 4 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 1306361522 NPPES
Wisconsin MEDICAID 100080089

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