Ms Susan C Endes, MS ATRL BC is a
Art Therapist based in Milwaukee, Wisconsin. Ms Susan C Endes is licensed to practice in Wisconsin (license number 69036) and her current practice location is
2020 W Wells St, Milwaukee, Wisconsin. She can be reached at her office (for appointments etc.) via phone at
(414) 937-2096.
NPI number for Ms Susan C Endes is 1104046168 and her current mailing address is 544 N 99 St, Wauwatosa, Wisconsin. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1104046168.
Healthcare Provider's Profile
| Full Name | Ms Susan C Endes |
|---|
| Gender | Female |
|---|
| Speciality | Art Therapist |
|---|
| Location | 2020 W Wells St, Milwaukee, Wisconsin |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1104046168
- Provider Enumeration Date: 05/01/2007
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Ms Susan C Endes such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1104046168 | NPI | - | NPPES |
| 41001000 | Medicaid | WI | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 103TP2701X | Psychologist - Group Psychotherapy | 69036 (Wisconsin) | Primary |
| 221700000X | Art Therapist | 69036 (Wisconsin) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ms Susan C Endes is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Ms Susan C Endes, MS ATRL BC
544 N 99 St,
Wauwatosa, WI 53226-4310
Ph: (414) 258-6099 | Ms Susan C Endes, MS ATRL BC
2020 W Wells St,
Milwaukee, WI 53233
Ph: (414) 937-2096 |
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