Summerfield, Melissa J
Summerfield, Melissa J is an individual health care provider with primary practice located at 10134 N Port Washington Rd , Mequon WI 53092-5700. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Summerfield, Melissa J can be contacted via phone (262) 241-9881.Contact Information
Primary practice address
10134 N Port Washington Rd
Mequon WI 53092-5700
Phone: (262) 241-9881
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | 761-125 | Wisconsin |
Profile Details
| NPI number | 1407936396 |
|---|---|
| LBN Legal business name | Summerfield, Melissa J |
| Credentials | MS, LPC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 16th, 2006 |
| Last updated | Mar 17th, 2018 - about 8 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 | 1407936396 | NPPES |
| California | Other | 0085 | REGISTERED PLAY THERAPIST |
| California | Other | 761-125 | REGISTERED PLAY THERAPIST |
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