Provider Demographics
NPI:1376021006
Name:VOSKUIL, CARY L (MS)
Entity Type:Individual
Prefix:MRS
First Name:CARY
Middle Name:L
Last Name:VOSKUIL
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:CARY
Other - Middle Name:L
Other - Last Name:SMITH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3301 W FOREST HOME AVE
Mailing Address - Street 2:
Mailing Address - City:MILWAUKEE
Mailing Address - State:WI
Mailing Address - Zip Code:53215-2843
Mailing Address - Country:US
Mailing Address - Phone:414-773-4312
Mailing Address - Fax:414-247-4082
Practice Address - Street 1:6980 N PORT WASHINGTON RD
Practice Address - Street 2:
Practice Address - City:MILWAUKEE
Practice Address - State:WI
Practice Address - Zip Code:53217-3900
Practice Address - Country:US
Practice Address - Phone:414-773-4312
Practice Address - Fax:414-247-4082
Is Sole Proprietor?:No
Enumeration Date:2018-08-03
Last Update Date:2022-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALPCC5294101YM0800X, 101YP2500X
WI6182-125101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI100088418Medicaid