Niles, Marianne

Niles, Marianne is an individual health care provider with primary practice located at 459 E 1St St , Fond Du Lac WI 54935-4505. She recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as her primary health care specialty. Niles, Marianne can be contacted via phone (920) 929-3554.

Contact Information

Primary practice address
459 E 1St St Fond Du Lac WI 54935-4505
Phone: (920) 929-3554
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 1965 Wisconsin

Profile Details

NPI number 1518184910
LBN Legal business name Niles, Marianne
Credentials PH.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 19th, 2007
Last updated Jan 22nd, 2008 - about 16 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1518184910 NPPES
Wisconsin MEDICAID 39683600

Popular Providers