Laustsen, Maureen
Laustsen, Maureen is an individual health care provider with primary practice located at 2363 S 102Nd Street #203, Milwaukee WI 53227. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Laustsen, Maureen can be contacted via phone (414) 545-1950.Contact Information
Primary practice address
2363 S 102Nd Street #203
Milwaukee WI 53227
Phone: (414) 545-1950
Fax: (414) 545-4168
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 1640123 | Wisconsin |
| Behavioral Health & Social Service Providers / Marriage & Family Therapist | 106H00000X | 513124 | Wisconsin |
Profile Details
| NPI number | 1790818771 |
|---|---|
| LBN Legal business name | Laustsen, Maureen |
| Credentials | MA LCSW LMFT |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 13th, 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 | 1790818771 | NPPES |
| Wisconsin | MEDICAID | 39630200 |
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