Cottrell, Lisa Marlette

Cottrell, Lisa Marlette is an individual health care provider with primary practice located at 975 Port Washington Rd Aurora Medical Center - Grafton, Suite 410, Grafton WI 53024-9201. She recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as her primary health care specialty. Cottrell, Lisa Marlette can be contacted via phone (262) 329-4305.

Contact Information

Primary practice address
975 Port Washington Rd Aurora Medical Center - Grafton, Suite 410 Grafton WI 53024-9201
Phone: (262) 329-4305
Fax: (262) 329-5614
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 2815-057 Wisconsin

Profile Details

NPI number 1255505848
LBN Legal business name Cottrell, Lisa Marlette
Credentials PH.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 15th, 2008
Last updated Dec 13th, 2021 - about 4 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 1255505848 NPPES
Wisconsin MEDICAID 43734900

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