Provider Demographics
NPI:1588753503
Name:HELLMAN, SHOSHANA (EDD)
Entity type:Individual
Prefix:DR
First Name:SHOSHANA
Middle Name:
Last Name:HELLMAN
Suffix:
Gender:F
Credentials:EDD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:S64W19011 SCHOOL DR
Mailing Address - Street 2:
Mailing Address - City:MUSKEGO
Mailing Address - State:WI
Mailing Address - Zip Code:53150-8516
Mailing Address - Country:US
Mailing Address - Phone:262-244-1156
Mailing Address - Fax:262-432-5736
Practice Address - Street 1:155 N MICHIGAN AVE STE 633
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60601-7795
Practice Address - Country:US
Practice Address - Phone:414-324-8879
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-11
Last Update Date:2018-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI3129-125103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical