Orvis, Angela M

Orvis, Angela M is an individual health care provider with primary practice located at 4555 W Schroeder Dr , Brown Deer WI 53223-1475. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical Child & Adolescent, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical Child & Adolescent is her primary health care specialty. Orvis, Angela M can be contacted via phone (800) 767-4411.

Contact Information

Primary practice address
4555 W Schroeder Dr Brown Deer WI 53223-1475
Fax: (414) 797-0804
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical Child & Adolescent 103TC2200X 3628-57 Wisconsin
Behavioral Health & Social Service Providers / Clinical 103TC0700X 3628-57 Wisconsin

Profile Details

NPI number 1083188122
LBN Legal business name Orvis, Angela M
Credentials PSYD
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 11th, 2019
Last updated Jan 11th, 2019 - about 6 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 1083188122 NPPES
Wisconsin Other 3628-57 STATE LICENSE

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