Dean, Marilyn R
Dean, Marilyn R is an individual health care provider with primary practice located at C3800 Heartland Hills Rd , Stratford WI 54484-9488. She recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as her primary health care specialty. Dean, Marilyn R can be contacted via phone (715) 223-7282.Contact Information
Primary practice address
C3800 Heartland Hills Rd
Stratford WI 54484-9488
Phone: (715) 223-7282
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | 1161 | Wisconsin |
Profile Details
| NPI number | 1790892057 |
|---|---|
| LBN Legal business name | Dean, Marilyn R |
| Credentials | PSYD |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 24th, 2006 |
| Last updated | Feb 15th, 2012 - about 14 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 | 1790892057 | NPPES |
| Wisconsin | MEDICAID | 39696100 |
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