Provider Demographics
NPI:1831484849
Name:APEH, IFEANYICHUKWU E (MFT)
Entity type:Individual
Prefix:DR
First Name:IFEANYICHUKWU
Middle Name:E
Last Name:APEH
Suffix:
Gender:M
Credentials:MFT
Other - Prefix:
Other - First Name:IFEANYI
Other - Middle Name:E
Other - Last Name:APEH
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:3200 W.HIGHLAND BLVD
Mailing Address - Street 2:
Mailing Address - City:MILWAUKEE
Mailing Address - State:WI
Mailing Address - Zip Code:53208
Mailing Address - Country:US
Mailing Address - Phone:414-342-4560
Mailing Address - Fax:414-342-5326
Practice Address - Street 1:3200 W HIGHLAND BLVD
Practice Address - Street 2:
Practice Address - City:MILWAUKEE
Practice Address - State:WI
Practice Address - Zip Code:53208-3252
Practice Address - Country:US
Practice Address - Phone:414-342-4560
Practice Address - Fax:414-342-5326
Is Sole Proprietor?:Yes
Enumeration Date:2011-06-17
Last Update Date:2011-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI156228106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI156228OtherMARRIAGE AND FAMILY TRAINING LICENSE