| NPI | 1902011257 |
|---|---|
| Doing Business As | WSPP PSYCHOLOGY CENTER |
| Entity Type | Organization |
| Authorized Contact | SUSAN ANN DVORAK Director Of Clinical Training 414-466-9777 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: WI 2001) |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: WI 2001) |
| Enumeration Date | 2007-05-11 |
| Last Update Date | 2008-06-17 |