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Contact Information

RAVEN M HUBBERT
4741 N 72ND ST
MILWAUKEE, WI53218-4815
 Phone: 414-982-8107
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Health Service

103TH0100X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for RAVEN M HUBBERT · (Female)

NPI Number 1336810217
Status Active
Credentials
Entity Individual
Enumeration date 09/21/2021
Last updated 09/21/2021 - About 5 years ago
Sole proprietor 1 Yes
Identifiers
  • WI Medicaid 83441842
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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