Jaramillo, Daniela A

Jaramillo, Daniela A is an individual health care provider with primary practice located at 5800 N Bayshore Drive A250, Glendale WI 53217-4536. She recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as her primary health care specialty. Jaramillo, Daniela A can be contacted via phone (414) 962-6764.

Contact Information

Primary practice address
5800 N Bayshore Drive A250 Glendale WI 53217-4536
Fax: (414) 962-6765
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 2305 Wisconsin

Profile Details

NPI number 1659455038
LBN Legal business name Jaramillo, Daniela A
Credentials PSY D
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 24th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1659455038 NPPES
Wisconsin MEDICAID 39770600

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