Perez, Maria Elena

Perez, Maria Elena is an individual health care provider with primary practice located at 1045 W Glen Oaks Ln Ste 205 , Mequon WI 53092-3467. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Perez, Maria Elena can be contacted via phone (262) 894-2658.

Contact Information

Primary practice address
1045 W Glen Oaks Ln Ste 205 Mequon WI 53092-3467
Phone: (262) 894-2658
Fax: (262) 378-3202
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 2932-57 Wisconsin
Behavioral Health & Social Service Providers / Clinical 1041C0700X 3816 Wisconsin
Behavioral Health & Social Service Providers / Clinical 103TC0700X 2932-57 Wisconsin

Profile Details

NPI number 1619072170
LBN Legal business name Perez, Maria Elena
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 13th, 2006
Last updated Feb 12th, 2024 - about last year

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 1619072170 NPPES
Wisconsin MEDICAID 39714800

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