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Organization

HOPE FOR A BETTER TOMORROW

Active
Organization subpart
No

Provider details

NPI number
Authorized official
SHEILA GISSIBL PSYD, LP (PSYCHOLOGIST)
(262) 313-8339
Entity
Organization

Contact information

Practice address
2607 N GRANDVIEW BLVD, SUITE 110, WAUKESHA, WI 53188-1686
(262) 313-8339
Mailing address
2607 N GRANDVIEW BLVD, SUITE 110, WAUKESHA, WI 53188-1686
(262) 313-8339

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
299757
WI
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100011910
WI
05
1033341953
WI
05
1104875341
WI
05
1649511007
WI
05
1699045534
WI
05
1831557206
WI
Enumeration date
10/02/2013
Last updated
08/25/2016
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