Individual
DR. SAMANTHA LAVARDA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
9455 W WATERTOWN PLANK RD, MILWAUKEE, WI 53226-3559
(414) 257-6707
Mailing address
12133 W BARNARD AVE, GREENFIELD, WI 53228-3053
(414) 377-9776
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
—
—
103T00000X
Psychologist
Primary
—
—
Other
Enumeration date
08/30/2010
Last updated
01/22/2019
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