Organization
JEFFREY L POLCZINSKI PSYD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY L POLCZINSKI PSYD (PSYCHOLOGIST)
(414) 967-9550
Entity
Organization
Contact information
Practice address
5555 N PORT WASHINGTON RD, SUITE 304, GLENDALE, WI 53217
(414) 967-9550
(414) 967-9550
Mailing address
5555 N PORT WASHINGTON RD, SUITE 304, GLENDALE, WI 53217
(414) 967-9550
(414) 967-9550
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
1641057
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
39131300
—
WI
Enumeration date
04/11/2008
Last updated
10/19/2011
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