Bub-Standal, Caryn

Bub-Standal, Caryn is an individual health care provider with primary practice located at 4811 S. 76Th St. Ste. 401, Greenfield WI 53220. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Marriage & Family Therapist, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Bub-Standal, Caryn can be contacted via phone (414) 325-7741.

Contact Information

Primary practice address
4811 S. 76Th St. Ste. 401 Greenfield WI 53220
Phone: (414) 325-7741
Fax: (414) 325-7753
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 471-124 Wisconsin
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 186-124 Wisconsin
Behavioral Health & Social Service Providers / Clinical 1041C0700X 2792-123 Wisconsin

Profile Details

NPI number 1851441034
LBN Legal business name Bub-Standal, Caryn
Credentials LCSW, LMFT
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 11th, 2007
Last updated Sep 26th, 2022 - about 2 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 1851441034 NPPES
Wisconsin Other 391805443007 BCBS
Wisconsin MEDICAID 39645500 BCBS

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