| NPI | 1801952700 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAREN KATHIE WYSZKOWSKI Office Manager 414-476-2699 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X |
| Additional Taxonomies | 103T00000X Psychologist (Licence: WI 988-057) |
| 103T00000X Psychologist (Licence: WI 124-057) | |
| 103T00000X Psychologist (Licence: WI 2144-057) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: WI 20250-020) | |
| Enumeration Date | 2006-12-28 |
| Last Update Date | 2011-11-15 |