| NPI | 1437705738 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEXANDER MATTHEW MEYER Licensed Clinical Psychologist 414-795-8855 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical |
| Enumeration Date | 2019-08-13 |
| Last Update Date | 2019-08-13 |