| NPI | 1821738261 |
|---|---|
| Doing Business As | FOREST HOME PEDIATRICS |
| Entity Type | Organization |
| Authorized Contact | SHEILA REUTEMAN Sr. Credentialing Coordinator 414-266-7615 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 101YP2500X Counselor, Professional | |
| 103TC2200X Psychologist, Clinical Child & Adolescent | |
| 104100000X Social Worker | |
| 1041C0700X Social Worker, Clinical | |
| 106H00000X Marriage & Family Therapist | |
| 2084P0800X Psychiatry & Neurology, Psychiatry | |
| 363A00000X Physician Assistant | |
| 363AM0700X Physician Assistant, Medical | |
| 363LF0000X Nurse Practitioner, Family | |
| 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry | |
| 363LP0200X Nurse Practitioner, Pediatrics | |
| Enumeration Date | 2022-04-01 |
| Last Update Date | 2022-04-01 |