Organization
HEALTHCARE PSYCHOLOGY CONSULTANTS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL LUTHER JORN PHD (CLINICAL PSYCHOLOGIST SOLE OWNER)
(414) 431-4322
Entity
Organization
Contact information
Practice address
4447 N OAKLAND AVE, SHOREWOOD, WI 53211
(414) 431-4322
(414) 431-4323
Mailing address
1110 N OLD WORLD 3RD ST STE 410, MILWAUKEE, WI 53203-1121
(414) 431-4322
(414) 431-4323
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
1912
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
39113800
—
WI
Enumeration date
03/30/2007
Last updated
12/04/2014
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