Haseleu, Mindy Elizabeth

Haseleu, Mindy Elizabeth is an individual health care provider with primary practice located at 705 W Main St Ste 3 , Sun Prairie WI 53590-2849. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Haseleu, Mindy Elizabeth can be contacted via phone (608) 825-6663.

Contact Information

Primary practice address
705 W Main St Ste 3 Sun Prairie WI 53590-2849
Fax: (608) 825-6946
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 2519057 Wisconsin

Profile Details

NPI number 1760490205
LBN Legal business name Haseleu, Mindy Elizabeth
Credentials PSYD
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 3rd, 2006
Last updated Jul 10th, 2013 - about 11 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 1760490205 NPPES
Wisconsin Other 13664 DEAN INS
Wisconsin Other 39184249622 DEAN INS
Wisconsin Other 39184249623 DEAN INS
Wisconsin Other 2004452 DEAN INS
Wisconsin MEDICAID 40976400 DEAN INS
Wisconsin Other 348589 DEAN INS

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