La Fave, Mark

La Fave, Mark is an individual health care provider with primary practice located at 3900 W Brown Deer Rd Ste 200 , Brown Deer WI 53209-1220. He recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as his primary health care specialty. La Fave, Mark can be contacted via phone (414) 540-2170.

Contact Information

Primary practice address
3900 W Brown Deer Rd Ste 200 Brown Deer WI 53209-1220
Phone: (414) 540-2170
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X

Profile Details

NPI number 1588121172
LBN Legal business name La Fave, Mark
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 1st, 2019
Last updated Mar 1st, 2019 - about 7 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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