| NPI | 1275930919 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NATHAN D GLASSMAN Owner 414-444-9811 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: WI 1653-57) |
| Enumeration Date | 2014-11-24 |
| Last Update Date | 2014-11-24 |