Herrold-Peterson, Ann
Herrold-Peterson, Ann is an individual health care provider with primary practice located at 1313 Fish Hatchery Rd Dean Medical Center, Madison WI 53715-1911. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Herrold-Peterson, Ann can be contacted via phone (608) 252-8000.Contact Information
Primary practice address
1313 Fish Hatchery Rd Dean Medical Center
Madison WI 53715-1911
Phone: (608) 252-8000
Fax: (608) 252-8245
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 1814-123 | Wisconsin |
Profile Details
| NPI number | 1033175260 |
|---|---|
| LBN Legal business name | Herrold-Peterson, Ann |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 25th, 2006 |
| Last updated | Mar 20th, 2009 - about 15 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 | 1033175260 | NPPES |
| Wisconsin | MEDICAID | 39255900 | |
| Wisconsin | Other | 829 |
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