Individual
JENNY CVINAR WALCZAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
9000 W WISCONSIN AVE, MILWAUKEE, WI 53226-4874
(414) 266-2932
(414) 266-3735
Mailing address
9000 W WISCONSIN AVE # MS 958, MILWAUKEE, WI 53226-4874
(414) 266-7615
(414) 266-6238
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
3746-57
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1194008250
—
WI
Enumeration date
09/26/2011
Last updated
05/07/2020
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