Umfleet, Laura Glass

Umfleet, Laura Glass is an individual health care provider with primary practice located at 9200 W Wisconsin Ave Neuropsychology, Milwaukee WI 53226-3522. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical Neuropsychologist, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Umfleet, Laura Glass can be contacted via phone (414) 805-5660.

Contact Information

Primary practice address
9200 W Wisconsin Ave Neuropsychology Milwaukee WI 53226-3522
Fax: (414) 805-7823
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical Neuropsychologist 103G00000X 3174 Wisconsin
Behavioral Health & Social Service Providers / Clinical 103TC0700X 3174-57 Wisconsin

Profile Details

NPI number 1669887725
LBN Legal business name Umfleet, Laura Glass
Credentials PSY.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 27th, 2014
Last updated Oct 15th, 2019 - about 7 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 1669887725 NPPES
Wisconsin MEDICAID 1669887725

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