Wallner, Carly

Wallner, Carly is an individual health care provider with primary practice located at 121 W Main St , Port Washington WI 53074-1813. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Wallner, Carly can be contacted via phone (262) 238-8130.

Contact Information

Primary practice address
121 W Main St Port Washington WI 53074-1813
Phone: (262) 238-8130
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 8355-125 Wisconsin
Behavioral Health & Social Service Providers / Professional 101YP2500X 8355-125 Wisconsin

Profile Details

NPI number 1801525795
LBN Legal business name Wallner, Carly
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 7th, 2022
Last updated Jul 10th, 2024 - about 2 months 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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