Individual
NATALY STEWART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2900 W OKLAHOMA AVE, MILWAUKEE, WI 53215-4330
(414) 649-6000
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044
(800) 326-2250
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
5242
WI
103T00000X
Psychologist
5242
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100292022
—
WI
Enumeration date
09/12/2024
Last updated
01/28/2025
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