| NPI | 1124291976 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY L POLCZINSKI Psychologist 414-967-9550 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: WI 1641057) |
| Enumeration Date | 2008-04-11 |
| Last Update Date | 2011-10-19 |