Marquart-Carlson, Melissa S

Marquart-Carlson, Melissa S is an individual health care provider with primary practice located at 1501 Creekside Ln , Green Bay WI 54311-7351. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Clinical Neuropsychologist. Behavioral Health & Social Service Providers / Psychologist is her primary health care specialty. Marquart-Carlson, Melissa S can be contacted via phone (920) 288-8030.

Contact Information

Primary practice address
1501 Creekside Ln Green Bay WI 54311-7351
Phone: (920) 288-8030
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 2560 Wisconsin
Behavioral Health & Social Service Providers / Clinical Neuropsychologist 103G00000X 2560 Wisconsin

Profile Details

NPI number 1619905577
LBN Legal business name Marquart-Carlson, Melissa S
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 29th, 2006
Last updated May 14th, 2024 - about 2 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 1619905577 NPPES
Wisconsin MEDICAID 39149700
Wisconsin Other P00460245

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