Individual
ALISSA M BUTTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
9200 W WISCONSIN AVE, MILWAUKEE, WI 53226
(414) 805-5660
Mailing address
9200 W WISCONSIN AVE, MILWAUKEE, WI 53226-3522
(414) 805-5660
(414) 955-0076
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
3662
WI
103TC0700X
Clinical Psychologist
LP5846
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1013342211
—
WI
Enumeration date
09/06/2013
Last updated
10/14/2019
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