| NPI | 1063532380 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL LUTHER JORN Clinical Psychologist Sole Owner 414-431-4322 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: WI 1912) |
| Enumeration Date | 2007-03-30 |
| Last Update Date | 2014-12-04 |