Laustsen, Maureen

Laustsen, Maureen is an individual health care provider with primary practice located at 2363 S 102Nd Street #203, Milwaukee WI 53227. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Laustsen, Maureen can be contacted via phone (414) 545-1950.

Contact Information

Primary practice address
2363 S 102Nd Street #203 Milwaukee WI 53227
Phone: (414) 545-1950
Fax: (414) 545-4168
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 1640123 Wisconsin
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 513124 Wisconsin

Profile Details

NPI number 1790818771
LBN Legal business name Laustsen, Maureen
Credentials MA LCSW LMFT
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 13th, 2007
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 1790818771 NPPES
Wisconsin MEDICAID 39630200

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