Organization
MEDICAL PSYCHOLOGY ASSOCIATES, INC.
Active
Organization
MEDICAL PSYCHOLOGY ASSOCIATES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KELLY E SMERZ PH.D. (DIRECTOR/PRESIDENT)
(414) 962-1000
Entity
Organization
Contact information
Practice address
6110 N PORT WASHINGTON RD, GLENDALE, WI 53217-4308
(414) 962-1000
(414) 963-6866
Mailing address
6110 N PORT WASHINGTON RD, GLENDALE, WI 53217-4308
(414) 962-1000
(414) 963-6866
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
2653-057
WI
Other
Enumeration date
10/06/2006
Last updated
05/07/2013
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