Healthcare Provider Details

I. General information

NPI: 1811836588
Provider Name (Legal Business Name): EMILY M CATTANI
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/26/2026
Last Update Date: 03/26/2026
Certification Date: 03/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

412 E LONGVIEW DR STE C
APPLETON WI
54911-2168
US

IV. Provider business mailing address

405 S OLDE ONEIDA ST APT 104
APPLETON WI
54911-2511
US

V. Phone/Fax

Practice location:
  • Phone: 920-973-2476
  • Fax:
Mailing address:
  • Phone: 920-973-2476
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number12268-125
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: