Female

Ms. Mary C. Enderlin PSYD

Clinical Psychologist in Glendale, WI(View on Map)

Full Name

Ms. Mary Catherine Enderlin PSYD

NPI Number

1164625455

NPI Type

Individual Provider

Gender

Female

Enumeration Date

06/06/2007

Specialties

(Taxonomies)

Code

103TC0700X

Primary Taxonomy

Yes

Licenses

State

Wisconsin

License Number

2247 057

Contact
Information

Purpose

Mailing
Location

Address

14330 FOREST VIEW LANE
6110 N PORT WASHINGTON ROAD

City

Brookfield
Glendale

State

WI
WI

Postal Code

53005
53217

Country

US
US

Telephone Number

(262) 782-9001
(414) 332-7400

Identifiers

Identifier

39765000

Identifier State

WI

Identifier Issuer

Unknown

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 07/08/2007

Provider Address

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