Individual
DR. LAURA L MATHEWS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
9000 W WISCONSIN AVE, CHILD AND ADOLESCENT PSYCHOLOGY, MILWAUKEE, WI 53226-4874
(414) 266-2932
(414) 266-3735
Mailing address
9000 W WISCONSIN AVE, CHILD AND ADOLESCENT PSYCHOLOGY, MILWAUKEE, WI 53226-4874
(414) 266-2932
(414) 266-3735
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
20041985
IN
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
3235
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200804750
—
IN
Enumeration date
06/15/2006
Last updated
06/16/2015
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