Organization
ADAM N. MORIWAKI, PSY.D., LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ADAM NELSON MORIWAKI PSY.D. (OWNER)
(414) 403-0966
Entity
Organization
Contact information
Practice address
10425 W NORTH AVE STE 239, WAUWATOSA, WI 53226-2416
(414) 909-3014
Mailing address
2337 S 95TH ST, WEST ALLIS, WI 53227-2335
(414) 403-0966
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
3546-57
WI
Other
Enumeration date
01/19/2018
Last updated
01/19/2018
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