Organization
PROVIDENCE PSYCHIATRIC SERVICES S C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY L PINTARRO APNP (PRESIDENT)
(414) 239-3172
Entity
Organization
Contact information
Practice address
333 BISHOPS WAY STE 102, BROOKFIELD, WI 53005-6209
(414) 239-3172
Mailing address
333 BISHOPS WAY STE 102, BROOKFIELD, WI 53005-6209
(414) 239-3172
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Enumeration date
06/04/2022
Last updated
06/04/2022
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