Individual
MARIBETH SADIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
500 ELM GROVE RD, #100, ELM GROVE, WI 53122
(262) 782-2090
(262) 782-2092
Mailing address
500 ELM GROVE RD, SUITE 100, ELM GROVE, WI 53122
(262) 782-2090
(262) 782-2092
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
1763057
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
39105000
—
WI
Enumeration date
01/11/2007
Last updated
04/04/2013
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