Glassman & Stanik Consulting Psychologists, LLC
Clinical Neuropsychologist in Milwaukee, WI. Organization (NPI-2).
NPI number1720105877
StatusActive
Last updated in NPPESJan 29, 2010
Details
- NPI
- 1720105877
- Entity type
- Organization (NPI-2)
- Legal business name
- Glassman & Stanik Consulting Psychologists, LLC
- Organization subpart
- No
- Enumeration date
- Mar 23, 2007
- Last updated
- Jan 29, 2010
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103G00000X | Clinical Neuropsychologist | 1653 | WI | Yes |
| 103G00000X | Clinical Neuropsychologist | 1998 | WI | |
| 103T00000X | Psychologist | 1653 | WI | |
| 103T00000X | Psychologist | 1998 | WI |
Practice location
7635 W Oklahoma AveSuite 201
Milwaukee, WI 53219-3600
Phone 414-444-9811 · Fax 414-444-9822
Mailing address
7635 W Oklahoma AveSuite 201
Milwaukee, WI 53219-3600
Phone 414-444-9811 · Fax 414-444-9822
Authorized official
Nathan D. Glassman
Doctor
4144449811
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