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Organization
TOSA PSYCHOLOGICAL SERVICES LLC
Active
Organization
TOSA PSYCHOLOGICAL SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DOMENICK TIRABASSI IV PSYD (OWNER)
(414) 377-4787
Entity
Organization
Contact information
Practice address
9205 W CENTER ST STE 203, MILWAUKEE, WI 53222-4548
(414) 522-7899
Mailing address
9205 W CENTER ST STE 203, MILWAUKEE, WI 53222-4548
(414) 377-4787
(866) 643-0083
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
08/31/2024
Last updated
08/21/2026
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