Mallmann, Angela
Mallmann, Angela is an sole proprietor health care provider with primary practice located at 4811 S 76Th St 401, Greenfield WI 53220-4364. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Mallmann, Angela can be contacted via phone (414) 325-7741.Contact Information
Primary practice address
4811 S 76Th St 401
Greenfield WI 53220-4364
Phone: (414) 325-7741
Fax: (414) 325-7753
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X |
Profile Details
| NPI number | 1568795250 |
|---|---|
| LBN Legal business name | Mallmann, Angela |
| Credentials | PSY.D., LPC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 11th, 2009 |
| Last updated | Jan 12th, 2017 - about 7 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 | 1568795250 | NPPES |
| Wisconsin | MEDICAID | 100031505 |
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