Medical Psychology Associates
Psychologist, Clinical in Glendale, WI. Organization (NPI-2).
NPI number1982000758
StatusActive
Last updated in NPPESNov 6, 2014
Details
- NPI
- 1982000758
- Entity type
- Organization (NPI-2)
- Legal business name
- Medical Psychology Associates
- Organization subpart
- No
- Enumeration date
- Nov 6, 2014
- Last updated
- Nov 6, 2014
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103TC0700X | Psychologist, Clinical | 984-57 | WI | Yes |
Practice location
6110 N Port Washington RdGlendale, WI 53217-4308
Phone 414-962-1000 · Fax 414-963-6866
Mailing address
6110 N Port Washington RdGlendale, WI 53217-4308
Phone 414-962-1000 · Fax 414-963-6866
Authorized official
Kelly Smerz
Director
4149621000
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