Layden, Mary Beth
Layden, Mary Beth is an sole proprietor health care provider with primary practice located at 4402 South 68Th Street Suite 104, Greenfield WI 53220-3479. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Layden, Mary Beth can be contacted via phone (262) 506-4050.Contact Information
Primary practice address
4402 South 68Th Street Suite 104
Greenfield WI 53220-3479
Phone: (262) 506-4050
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 2417 | Wisconsin |
Profile Details
| NPI number | 1295856219 |
|---|---|
| LBN Legal business name | Layden, Mary Beth |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 3rd, 2007 |
| Last updated | Oct 11th, 2016 - about 8 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 | 1295856219 | NPPES |
| Wisconsin | MEDICAID | 1295856219 |
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