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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 Specialty Code Provider Type

Clinical

103TC0700X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for MARY C ENDERLIN · (Female)

NPI # 1164625455
Status Active
Credentials PSYD (Doctor of Psychology)
Entity Individual
Enumeration date 06/06/2007
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 No
Identifiers
  • WI License # 2247 057
  • WI Medicaid 39765000
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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