Cichanski, Kathleen

Cichanski, Kathleen is an sole proprietor health care provider with primary practice located at 2600 N Mayfair Rd Suite #305, Wauwatosa WI 53226-1309. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Family, Behavioral Health & Social Service Providers / Health Service. Behavioral Health & Social Service Providers / Psychologist is her primary health care specialty. Cichanski, Kathleen can be contacted via phone (414) 257-0233.

Contact Information

Primary practice address
2600 N Mayfair Rd Suite #305 Wauwatosa WI 53226-1309
Phone: (414) 257-0233
Fax: (414) 257-3588
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 570 Wisconsin
Behavioral Health & Social Service Providers / Family 103TF0000X 570 Wisconsin
Behavioral Health & Social Service Providers / Health Service 103TH0100X 570 Wisconsin

Profile Details

NPI number 1457370769
LBN Legal business name Cichanski, Kathleen
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 18th, 2006
Last updated Jul 8th, 2007 - about 17 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 1457370769 NPPES
Wisconsin MEDICAID 39056700

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