Individual
MS. MARIA ELENA PEREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
1045 W GLEN OAKS LN STE 205, MEQUON, WI 53092-3467
(262) 894-2658
(262) 378-3202
Mailing address
W286S4785 WOODS RD, WAUKESHA, WI 53189-9051
(262) 894-2658
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
2932-57
WI
103TC0700X
Clinical Psychologist
Primary
2932-57
WI
1041C0700X
Clinical Social Worker
3816
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
39714800
—
WI
Enumeration date
09/13/2006
Last updated
02/12/2024
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