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Individual

GINA MARIE REHKEMPER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PHD

Contact information

Practice address
600 WALNUT RIDGE DR, HARTLAND, WI 53029-9385
(262) 369-7040
(262) 544-1213
Mailing address
3301 W FOREST HOME AVE STE 501, MILWAUKEE, WI 53215-2843
(262) 369-7040
(262) 544-1213

Taxonomy

Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
2106-057
WI
103TC0700X
Clinical Psychologist
2106-057
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
39123500
WI
Enumeration date
11/13/2006
Last updated
12/07/2021
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