Individual
DR. JENNIFER MOORE VICE-RESHEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
1250 N 113TH STREET, SUITE 200, WAWATOSA, WI 53226-3209
(262) 432-6600
(424) 432-6604
Mailing address
7330 N MOHAWK RD, FOX POINT, WI 53217-3454
(330) 256-4143
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Enumeration date
11/04/2024
Last updated
11/04/2024
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