Wisconsin Geriatric Psychological Services Sc

NPI 1538451075 - Psychologist - 103T00000X

NPI Details
NPI 1538451075
Enumeration Date 05/03/2011
Last Updated 03/22/2013
Entity Type Healthcare Provider
Active Over 5 years ago
Authorized Information
Name PATRICIA C PATRICIA
Position PSYCHOLOGIST
Phone (718) 268-6600
Fax (718) 268-6065
Practice Location
3254 S 86TH ST
MILWAUKEE WI, 53227-4620, US
Phone (718) 268-6600
Fax (718) 268-6065
Business Location
3254 S 86TH ST
MILWAUKEE WI, 53227-4620, US
Phone (718) 268-6600
Fax (718) 268-6065
Toxanomy
Taxonomy Code 103T00000X
License State Wisconsin
License Number 1998-57
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According to our database, Wisconsin Geriatric Psychological Services Sc NPI is 1538451075, taxonomy code is 103T00000X and license number is 1998-57, license state is located at Wisconsin. Wisconsin Geriatric Psychological Services Sc physically located at 3254 S 86th St, Milwaukee WI, 53227-4620. NPI Number 1033115704 has the healthcare provider type.

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1538451075 NPI number is provided on an as is basis without warranty of any kind. 1538451075 is maintained by the National Plan & Provider Enumeration System. The contents of Wisconsin Geriatric Psychological Services Sc are for informational purposes only.