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Contact Information

SAMANTHA EVERHART, PhD
13800 W NORTH AVE STE 120
BROOKFIELD, WI53005-4977
 Phone: 262-432-6600
 Fax: 262-432-6604
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical Child & Adolescent

103TC2200X 62 Psychologist, Clinical
 

Clinical

103TC0700X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for SAMANTHA EVERHART · (Female)

NPI # 1285067306
Status Active
Credentials PhD
Entity Individual
Enumeration date 08/12/2013
Last updated 01/11/2024 - About 2 years ago
Sole proprietor 1 No
Identifiers
  • WI License # 5002
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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