Provider Demographics
NPI:1821258286
Name:KLEIN, ELLEN L (LPC, MS)
Entity Type:Individual
Prefix:MRS
First Name:ELLEN
Middle Name:L
Last Name:KLEIN
Suffix:
Gender:F
Credentials:LPC, MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:230 W WELLS ST
Mailing Address - Street 2:SUITE 504
Mailing Address - City:MILWAUKEE
Mailing Address - State:WI
Mailing Address - Zip Code:53203-1866
Mailing Address - Country:US
Mailing Address - Phone:414-290-0444
Mailing Address - Fax:414-226-0351
Practice Address - Street 1:230 W WELLS ST
Practice Address - Street 2:SUITE 504
Practice Address - City:MILWAUKEE
Practice Address - State:WI
Practice Address - Zip Code:53203-1866
Practice Address - Country:US
Practice Address - Phone:414-290-0444
Practice Address - Fax:414-226-0351
Is Sole Proprietor?:No
Enumeration Date:2008-06-10
Last Update Date:2019-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI3995-125OtherLICENSED PROFESSIONAL COUNSELOR
WI43733200Medicaid