Hewitt, Mariah
Hewitt, Mariah is an individual health care provider with primary practice located at 840 Lake Ave Ste 101, Racine WI 53403-1566. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Hewitt, Mariah can be contacted via phone (262) 634-8688.Contact Information
Primary practice address
840 Lake Ave Ste 101
Racine WI 53403-1566
Phone: (262) 634-8688
Fax: (262) 634-7547
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 2534-057 | Wisconsin |
Profile Details
| NPI number | 1558305409 |
|---|---|
| LBN Legal business name | Hewitt, Mariah |
| Credentials | PSYD |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 15th, 2006 |
| Last updated | Jul 8th, 2007 - about 18 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 | 1558305409 | NPPES |
| Wisconsin | MEDICAID | 40960500 |
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