Anderson, Kathleen

Anderson, Kathleen is an individual health care provider with primary practice located at 2424 S 90Th St Ste 502 , West Allis WI 53227-2455. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Social Worker, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Anderson, Kathleen can be contacted via phone (414) 773-4312.

Contact Information

Primary practice address
2424 S 90Th St Ste 502 West Allis WI 53227-2455
Phone: (414) 773-4312
Fax: (414) 329-5637
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X 129795121 Wisconsin
Behavioral Health & Social Service Providers / Clinical 1041C0700X 8820 Wisconsin

Profile Details

NPI number 1992175574
LBN Legal business name Anderson, Kathleen
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 25th, 2015
Last updated May 16th, 2023 - about last year

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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1992175574 NPPES
Wisconsin MEDICAID 10048544

Popular Providers