Provider Demographics
NPI:1356215180
Name:ERDMANN, STEVEN (EDS)
Entity type:Individual
Prefix:
First Name:STEVEN
Middle Name:
Last Name:ERDMANN
Suffix:
Gender:M
Credentials:EDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1455 SCHOOL ST
Mailing Address - Street 2:PO BOX 37
Mailing Address - City:KEWASKUM
Mailing Address - State:WI
Mailing Address - Zip Code:53040
Mailing Address - Country:US
Mailing Address - Phone:262-626-8427
Mailing Address - Fax:
Practice Address - Street 1:1455 SCHOOL ST
Practice Address - Street 2:
Practice Address - City:KEWASKUM
Practice Address - State:WI
Practice Address - Zip Code:53040-8924
Practice Address - Country:US
Practice Address - Phone:262-626-8427
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-10-03
Last Update Date:2025-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI3001030008103TS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TS0200XBehavioral Health & Social Service ProvidersPsychologistSchool