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NPI Code Detail

MEDICARE: CATHERINE BROWN

MEDICARE:   CATHERINE  BROWN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YP2500XProfessional Counselor7266WI

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1316396781
Entity Type Code : Individual
Provider Name (Legal Business Name) : CATHERINE BROWN
Provider Business Mailing Address
First Line : 620 S 76TH ST
Second Line :
City : MILWAUKEE
State : WI
Zip : 53214-1599
Country : US
Telephone Number : 414-453-1400
Fax Number : 414-453-2538
Provider Business Practice Location Address
First Line : 4855 S MOORLAND RD STE 150
Second Line :
City : NEW BERLIN
State : WI
Zip : 53151-7495
Country : US
Telephone Number : 414-266-3339
Fax Number : 414-425-9803
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/07/2016
Last Update Date : 01/18/2022

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Directions to “ CATHERINE BROWN ” Practice Location

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