Organization
VIBRANT CHILD PSYCHOLOGY SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JILL DELIE PSYD (OWNER)
(414) 687-1285
Entity
Organization
Contact information
Practice address
10150 W NATIONAL AVE STE 315, WEST ALLIS, WI 53227-2153
(262) 668-8870
(414) 310-0560
Mailing address
2945 N 84TH ST, MILWAUKEE, WI 53222-4705
(414) 687-1285
(414) 310-0560
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Enumeration date
10/29/2024
Last updated
10/29/2024
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