Kepler Leske, Brenda Sue

Kepler Leske, Brenda Sue is an individual health care provider with primary practice located at 4785 Hayes Rd Suite 100, Madison WI 53704-7364. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Kepler Leske, Brenda Sue can be contacted via phone (608) 242-7160.

Contact Information

Primary practice address
4785 Hayes Rd Suite 100 Madison WI 53704-7364
Fax: (608) 242-7153
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 2355-057 Wisconsin

Profile Details

NPI number 1154384006
LBN Legal business name Kepler Leske, Brenda Sue
Credentials PSY.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 11th, 2006
Last updated Jan 20th, 2021 - about 3 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 1154384006 NPPES
Wisconsin MEDICAID 43577300

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