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Contact Information

MICHELLE K ROOT MCDANIEL
846 METALOON TRAIL
EAGLE RIVER, WI54521
 Phone: 832-439-4097
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

School

103TS0200X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for MICHELLE K ROOT MCDANIEL · (Female)

NPI # 1851999163
Status Active
Credentials
Entity Individual
Enumeration date 10/09/2020
Last updated 10/09/2020 - About 6 years ago
Sole proprietor 1 No
Identifiers
  • WI License # 835100
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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