Provider Demographics
NPI:1497839922
Name:ERDMANN, MARIA CHRISTINE (LPC)
Entity Type:Individual
Prefix:MS
First Name:MARIA
Middle Name:CHRISTINE
Last Name:ERDMANN
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5739 W FILLMORE DR
Mailing Address - Street 2:
Mailing Address - City:WEST ALLIS
Mailing Address - State:WI
Mailing Address - Zip Code:53219-2219
Mailing Address - Country:US
Mailing Address - Phone:414-321-5240
Mailing Address - Fax:
Practice Address - Street 1:250 N SUNNY SLOPE RD
Practice Address - Street 2:SUITE 128
Practice Address - City:BROOKFIELD
Practice Address - State:WI
Practice Address - Zip Code:53005-4809
Practice Address - Country:US
Practice Address - Phone:262-782-2820
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI41000500Medicaid