Organization
PEDIATRIC NEUROPSYCHOLOGY AND TREATMENT ASSOCIATES, SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHRISTOPHER PAUL WIEBUSCH PH.D. (PRESIDENT)
(262) 347-0701
Entity
Organization
Contact information
Practice address
N27W23953 PAUL RD, STE. 206, PEWAUKEE, WI 53072-6242
(262) 347-0701
(262) 347-0705
Mailing address
N27W23953 PAUL RD, STE. 206, PEWAUKEE, WI 53072-6242
(262) 347-0701
(262) 347-0705
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
—
—
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
—
—
Other
Enumeration date
04/19/2007
Last updated
09/11/2025
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