Cardassi, Lawrence
Cardassi, Lawrence is an individual health care provider with primary practice located at 11803 W North Ave Ste 209 , Wauwatosa WI 53226-2077. He recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as his primary health care specialty. Cardassi, Lawrence can be contacted via phone (414) 259-0205.Contact Information
Primary practice address
11803 W North Ave Ste 209
Wauwatosa WI 53226-2077
Phone: (414) 259-0205
Fax: (414) 259-0212
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | 1828-125 | Wisconsin |
Profile Details
| NPI number | 1215036884 |
|---|---|
| LBN Legal business name | Cardassi, Lawrence |
| Credentials | PH.D. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 21st, 2006 |
| Last updated | Jul 8th, 2009 - about 16 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 | 1215036884 | NPPES |
| Wisconsin | MEDICAID | 43571100 |
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