Provider Demographics
NPI:1134325780
Name:WALDRON KRISS AND ASSOCIATES
Entity Type:Organization
Organization Name:WALDRON KRISS AND ASSOCIATES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:
Authorized Official - First Name:MARLIN
Authorized Official - Middle Name:
Authorized Official - Last Name:KRISS
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:608-836-5529
Mailing Address - Street 1:6702 STONEFIELD RD STE 100
Mailing Address - Street 2:
Mailing Address - City:MIDDLETON
Mailing Address - State:WI
Mailing Address - Zip Code:53562-3875
Mailing Address - Country:US
Mailing Address - Phone:608-836-5529
Mailing Address - Fax:608-836-8059
Practice Address - Street 1:6702 STONEFIELD RD STE 100
Practice Address - Street 2:
Practice Address - City:MIDDLETON
Practice Address - State:WI
Practice Address - Zip Code:53562-3875
Practice Address - Country:US
Practice Address - Phone:608-836-5529
Practice Address - Fax:608-836-8059
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-21
Last Update Date:2008-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI22501041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty