Defreese, Danielle

Defreese, Danielle is an individual health care provider with primary practice located at 10400 75Th St , Kenosha WI 53142-7884. She recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as her primary health care specialty. Defreese, Danielle can be contacted via phone (262) 948-6839.

Contact Information

Primary practice address
10400 75Th St Kenosha WI 53142-7884
Phone: (262) 948-6839
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 3275 Wisconsin

Profile Details

NPI number 1396039632
LBN Legal business name Defreese, Danielle
Credentials PSYD
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 3rd, 2011
Last updated Nov 30th, 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 1396039632 NPPES
Wisconsin MEDICAID 100048177

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