Individual
SYDNEY ELIZABETH PARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
9000 W WISCONSIN AVE, MILWAUKEE, WI 53226-4874
(262) 366-4318
Mailing address
2501 N 55TH ST, MILWAUKEE, WI 53210-2746
(262) 366-4318
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
5160-57
WI
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1194451047
—
WI
Enumeration date
07/25/2022
Last updated
06/19/2025
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