Jody Ann Pahlavan PSYD

NPI 1093707044 - Psychologist - 103T00000X

NPI Details
NPI 1093707044
Gender Female
Enumeration Date 08/16/2005
Last Updated 07/08/2007
Entity Type Individual
Active Over 11 years ago
Practice Location
11101 W LINCOLN AVE
ROGERS MEMORIAL HOSPITAL
WEST ALLIS WI, 53227-1133, US
Phone (414) 327-3000
Fax
Business Location
3630 N HICKORY LN
ROGERS MEMORIAL HOSPITAL
OCONOMOWOC WI, 53066-4532, US
Phone (262) 646-1338
Fax (262) 646-7067
Toxanomy
Taxonomy Code 103T00000X
License State Wisconsin
License Number 1694-057
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According to our database, Dr. Jody Ann Pahlavan PSYD NPI is 1093707044, taxonomy code is 103T00000X and license number is 1694-057, license state is located at Wisconsin. Jody Ann Pahlavan PSYD physically located at 11101 W Lincoln Ave, West Allis WI, 53227-1133. NPI Number Jody Ann Pahlavan PSYD has the Individual type.

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1093707044 NPI number is provided on an as is basis without warranty of any kind. 1093707044 is maintained by the National Plan & Provider Enumeration System. The contents of Jody Ann Pahlavan PSYD are for informational purposes only.