Individual
MS. MARY CATHERINE ENDERLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
6110 N PORT WASHINGTON ROAD, THE CAMBRIDGE GROUP, GLENDALE, WI 53217
(414) 332-7400
(414) 963-6866
Mailing address
14330 FOREST VIEW LANE, BROOKFIELD, WI 53005
(262) 782-9001
(414) 963-6866
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
2247 057
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
39765000
—
WI
Enumeration date
06/06/2007
Last updated
07/08/2007
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