| NPI | 1225153240 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIZABETH D AXELROD Clinic Director 414-332-7333 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: WI 2111057) |
| Enumeration Date | 2007-03-20 |
| Last Update Date | 2020-08-22 |