Provider Demographics
NPI:1376710749
Name:NOLAN, EMILY CATHLEEN (MA)
Entity type:Individual
Prefix:
First Name:EMILY
Middle Name:CATHLEEN
Last Name:NOLAN
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:EMILY
Other - Middle Name:
Other - Last Name:GOLDSTEIN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:7425 GRAND PKWY
Mailing Address - Street 2:
Mailing Address - City:WAUWATOSA
Mailing Address - State:WI
Mailing Address - Zip Code:53213-3661
Mailing Address - Country:US
Mailing Address - Phone:414-378-0602
Mailing Address - Fax:
Practice Address - Street 1:700 W VIRGINIA ST
Practice Address - Street 2:
Practice Address - City:MILWAUKEE
Practice Address - State:WI
Practice Address - Zip Code:53204-1549
Practice Address - Country:US
Practice Address - Phone:414-378-0602
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-05-14
Last Update Date:2025-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI4057-125101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional