Healthcare Provider Details

I. General information

NPI: 1346056520
Provider Name (Legal Business Name): MORGAN ASHLEY CARTER-ENGSTRAND PSYD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MORGAN ASHLEY CARTER PSYD

II. Dates (important events)

Enumeration Date: 12/03/2024
Last Update Date: 04/30/2026
Certification Date: 04/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

N34W23109 CIRCLE RIDGE RD APT 202
PEWAUKEE WI
53072-5744
US

IV. Provider business mailing address

N34W23109 CIRCLE RIDGE RD APT 202
PEWAUKEE WI
53072-5744
US

V. Phone/Fax

Practice location:
  • Phone: 239-986-5921
  • Fax:
Mailing address:
  • Phone: 239-986-5921
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number5237-57
License Number StateWI
# 2
Primary TaxonomyN
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number20044053A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: