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Contact Information

MARIAH ABDEL FATTAH
7280 S 13TH ST STE 202
OAK CREEK, WI53154-1831
 Phone: 262-251-1112
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Mental Health

101YM0800X
Indicates primary specialty

NPI Profile & details for MARIAH ABDEL FATTAH · (Female)

NPI Number 1255227765
Status Active
Credentials
Entity Individual
Enumeration date 06/13/2025
Last updated 06/13/2025 - About 12 months ago
Sole proprietor 1 Yes
Identifiers
  • WI License # 7493226
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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