| NPI | 1619767670 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BENJAMIN J SAUER Practice Management Coordinator 414-607-2553 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC1900X Psychologist, Counseling |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| 103G00000X Clinical Neuropsychologist | |
| 103TB0200X Psychologist, Cognitive & Behavioral | |
| 1041C0700X Social Worker, Clinical | |
| 106H00000X Marriage & Family Therapist | |
| Enumeration Date | 2025-05-12 |
| Last Update Date | 2025-05-12 |