Individual
MS. LULA F REAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2645 N MAYFAIR RD, SUITE 120, WAUWATOSA, WI 53226-1304
(414) 302-9200
(414) 727-6555
Mailing address
2645 N MAYFAIR RD, SUITE 120, WAUWATOSA, WI 53226-1304
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
2207-057
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
171-124
MARRIAGE & FAMILY THERAP
WI
01
—
2207-057
WISCONSIN PSYCHOLOGIST
WI
05
—
39628000
—
WI
Enumeration date
10/14/2006
Last updated
07/09/2007
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