Organization
JULIETTE MARTIN-THOMAS PHD SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JULIETTE MARTIN-THOMAS PHD (OWNER/PRESIDENT)
(414) 365-9444
Entity
Organization
Contact information
Practice address
8901 N 76TH ST, MILWAUKEE, WI 53223-1901
(414) 365-9444
Mailing address
1001 W GLEN OAKS LN STE 105, MEQUON, WI 53092-3369
(414) 365-3210
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
39023900
—
WI
Enumeration date
07/23/2006
Last updated
10/11/2017
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