Individual
LAWRENCE CARDASSI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
11803 W NORTH AVE STE 209, WAUWATOSA, WI 53226-2077
(414) 259-0205
(414) 259-0212
Mailing address
11803 W NORTH AVE STE 209, WAUWATOSA, WI 53226-2077
(414) 259-0205
(414) 259-0212
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
1828-125
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
43571100
—
WI
Enumeration date
09/21/2006
Last updated
07/08/2009
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