Provider Demographics
NPI:1669819785
Name:ANZIA, KATE SAVAGE (MS)
Entity Type:Individual
Prefix:
First Name:KATE
Middle Name:SAVAGE
Last Name:ANZIA
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:430 CENTER AVE
Mailing Address - Street 2:
Mailing Address - City:OOSTBURG
Mailing Address - State:WI
Mailing Address - Zip Code:53070-1427
Mailing Address - Country:US
Mailing Address - Phone:262-339-8981
Mailing Address - Fax:
Practice Address - Street 1:2266 NORTH PROSPECT AVENUE, SUITE 326
Practice Address - Street 2:RAVENSWOOD CLINIC
Practice Address - City:MILWAUKEE
Practice Address - State:WI
Practice Address - Zip Code:53202
Practice Address - Country:US
Practice Address - Phone:414-224-0492
Practice Address - Fax:414-224-8112
Is Sole Proprietor?:Yes
Enumeration Date:2013-05-30
Last Update Date:2013-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI5090-125101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional