Healthcare Provider Details

I. General information

NPI: 1518433978
Provider Name (Legal Business Name): CAROLINE ELIZABETH ENGLER PHD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/23/2018
Last Update Date: 07/17/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2847 S CLEMENT AVE
MILWAUKEE WI
53207-2228
US

IV. Provider business mailing address

2847 S CLEMENT AVE
MILWAUKEE WI
53207-2228
US

V. Phone/Fax

Practice location:
  • Phone: 937-475-2201
  • Fax:
Mailing address:
  • Phone: 937-475-2201
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number3571-57
License Number StateWI
# 2
Primary TaxonomyN
Taxonomy Code103TC1900X
TaxonomyCounseling Psychologist
License Number3571-57
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: