MEDICARE: MRS. ANDREA BRANDNER PATZ MAAT, ATR

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
1	101YM0800X	Mental Health Counselor

Other Identifiers

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

General Provider Information

NPI Number	:	1447337621
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. ANDREA BRANDNER PATZ MAAT, ATR

Provider Business Mailing Address
First Line	:	12821 W GRAHAM ST
Second Line	:
City	:	NEW BERLIN
State	:	WI
Zip	:	53151-2632
Country	:	US
Telephone Number	:	262-649-3281
Fax Number	:

Provider Business Practice Location Address
First Line	:	10045 W LISBON AVE
Second Line	:	SUITE 221
City	:	WAUWATOSA
State	:	WI
Zip	:	53222-2446
Country	:	US
Telephone Number	:	414-358-7999
Fax Number	:	414-358-7158

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/01/2006
Last Update Date	:	07/09/2007

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