Provider Demographics
NPI:1518155894
Name:PRESSIE, AARON E
Entity Type:Individual
Prefix:
First Name:AARON
Middle Name:E
Last Name:PRESSIE
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4831N70TH
Mailing Address - Street 2:
Mailing Address - City:MILWAUKEE
Mailing Address - State:WI
Mailing Address - Zip Code:53218-6102
Mailing Address - Country:US
Mailing Address - Phone:414-235-6490
Mailing Address - Fax:414-645-7850
Practice Address - Street 1:4831N70TH
Practice Address - Street 2:
Practice Address - City:MILWAUKEE
Practice Address - State:WI
Practice Address - Zip Code:53218-6102
Practice Address - Country:US
Practice Address - Phone:414-235-6490
Practice Address - Fax:414-645-7850
Is Sole Proprietor?:No
Enumeration Date:2007-10-11
Last Update Date:2008-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI39366200Medicaid