Phelps, Ivy Ellen Jean

Phelps, Ivy Ellen Jean is an individual health care provider with primary practice located at 2814 S 108Th St , West Allis WI 53227-3224. She recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Phelps, Ivy Ellen Jean can be contacted via phone (414) 885-3525.

Contact Information

Primary practice address
2814 S 108Th St West Allis WI 53227-3224
Phone: (414) 885-3525
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 15687-132 Wisconsin

Profile Details

NPI number 1720509292
LBN Legal business name Phelps, Ivy Ellen Jean
Credentials LCSW, CSAC
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 5th, 2017
Last updated Jul 21st, 2022 - about 4 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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