Individual
DR. THEONI H CALVERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
11649 N PORT WASHINGTON RD, STE 201, MEQUON, WI 53092-3459
(262) 789-1191
(262) 478-0030
Mailing address
16535 W BLUEMOUND RD, SUITE 200, BROOKFIELD, WI 53005-5936
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
2604-57
WI
Other
Enumeration date
08/04/2006
Last updated
02/20/2018
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