TISA A AYUSO

MILWAUKEE, WI
NPI1851629448
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry
(Licence: WI  2706-321)
Additional Taxonomies2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry
(Licence: CT  048692)
2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry
(Licence: MN  73136)
Enumeration Date2009-11-20
Last Update Date2025-07-02
Business Address
TISA A AYUSO D.O.
8915 W CONNELL AVE
MILWAUKEE, WI 53226-3067
Phone number: 414-266-2932
Mailing Address
TISA A AYUSO D.O.
5 PERRYRIDGE RD
GREENWICH, CT 06830-4697
Phone number: 203-863-3944