Individual
JULIE LEWIS RICKERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
W180N8000 TOWN HALL RD, DEPARTMENT OF PSYCHIATRY, MENOMONEE FALLS, WI 53051-4002
(262) 255-2500
Mailing address
W180N8000 TOWN HALL RD, DEPARTMENT OF PSYCHIATRY, MENOMONEE FALLS, WI 53051-4002
(262) 255-2500
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
296
ND
103TC0700X
Clinical Psychologist
Primary
3455
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1215035944
—
WI
05
—
18980
—
ND
Enumeration date
09/20/2006
Last updated
04/20/2017
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