Individual
DR. DOUGLAS R LYMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
4570 S 27TH ST, MILWAUKEE, WI 53221
(414) 325-8720
(414) 325-8780
Mailing address
3301 W FOREST HOME AVE, MILWAUKEE, WI 53215-2843
(414) 647-6326
(414) 671-8860
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
1396-057
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
39215900
—
WI
Enumeration date
08/23/2006
Last updated
07/09/2007
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