Organization
TOSA PSYCHOLOGICAL SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DOMENICK TIRABASSI IV PSYD (OWNER)
(262) 818-9888
Entity
Organization
Contact information
Practice address
10425 W NORTH AVE STE 350, WAUWATOSA, WI 53226-2416
(414) 522-7899
Mailing address
2796 N 98TH ST, MILWAUKEE, WI 53222-4551
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
08/31/2024
Last updated
08/31/2024
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