National Provider Identifier Database

MARY C ENDERLIN, PSYD – NPI #1164625455
Clinical

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth — one that is broadly inclusive of severe psychopathology — and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.


Contact Information

MARY C ENDERLIN, PSYD
6110 N PORT WASHINGTON ROAD
THE CAMBRIDGE GROUP
GLENDALE, WI53217
Phone: 414-332-7400
Fax: 414-963-6866
Website:
Specialty Taxonomy Code
* Clinical 103TC0700X

* Indicates primary specialty

NPI Profile & details for MARY C ENDERLIN

NPI Number 1164625455
Credentials PSYD (Doctor of Psychology)
Entity Individual
Enumeration date 06/06/2007
Last updated 07/08/2007 - About 19 years ago
Sole proprietor1 No
Identifiers
  • WI License #: 2247 057
  • WI Medicaid: 39765000
Hospital affiliation n/a

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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