Mckenna, Trish

Mckenna, Trish is an sole proprietor health care provider with primary practice located at 13035 W Bluemound Rd Ste 100 , Brookfield WI 53005-8001. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Student, Health Care / Student in an Organized Health Care Education/Training Program. Student, Health Care / Student in an Organized Health Care Education/Training Program is her primary health care specialty. Mckenna, Trish can be contacted via phone (262) 244-0729.

Contact Information

Primary practice address
13035 W Bluemound Rd Ste 100 Brookfield WI 53005-8001
Phone: (262) 244-0729
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X Wisconsin

Profile Details

NPI number 1265190938
LBN Legal business name Mckenna, Trish
Credentials MS
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 30th, 2021
Last updated Nov 30th, 2021 - about 5 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 1265190938 NPPES
Wisconsin Other 39020000X 39020000X
Wisconsin MEDICAID 39020000X 39020000X

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