Mathews, Laura L

Mathews, Laura L is an individual health care provider with primary practice located at 9000 W Wisconsin Ave Child And Adolescent Psychology, Milwaukee WI 53226-4874. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counseling, Behavioral Health & Social Service Providers / Clinical Child & Adolescent. Behavioral Health & Social Service Providers / Clinical Child & Adolescent is her primary health care specialty. Mathews, Laura L can be contacted via phone (414) 266-2932.

Contact Information

Primary practice address
9000 W Wisconsin Ave Child And Adolescent Psychology Milwaukee WI 53226-4874
Phone: (414) 266-2932
Fax: (414) 266-3735
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counseling 103TC1900X 20041985 Indiana
Behavioral Health & Social Service Providers / Clinical Child & Adolescent 103TC2200X 3235 Wisconsin

Profile Details

NPI number 1043254428
LBN Legal business name Mathews, Laura L
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 15th, 2006
Last updated Jun 16th, 2015 - about 11 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 1043254428 NPPES
Indiana MEDICAID 200804750

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