| NPI | 1063609584 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRENDA REED Psychologist 414-732-3172 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: WI 2456-057) |
| Enumeration Date | 2007-09-28 |
| Last Update Date | 2007-09-28 |