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Individual

DR. CYNTHIA CELESTE-TROUT VALENTIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PHD APNP

Contact information

Practice address
1220 DEWEY AVE, WAUWATOSA, WI 53213-2504
(414) 773-4312
(414) 454-6522
Mailing address
1220 DEWEY AVE, WAUWATOSA, WI 53213-2504
(414) 773-4312
(414) 454-6522

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
1589057
WI
163W00000X
Registered Nurse
63565030
WI
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
1908033
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
39231700
WI
Enumeration date
09/21/2006
Last updated
04/27/2018
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