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Individual

DR. MARY E NEFF

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PSYD

Contact information

Practice address
5555 N PORT WASHINGTON ROAD, SUITE 300, MILWAUKEE, WI 53217-4928
(414) 962-6764
(414) 962-6765
Mailing address
5555 N PORT WASHINGTON ROAD, SUITE 300, MILWAUKEE, WI 53217-4928
(414) 962-6764
(414) 962-6765

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
5392 - 125
WI
103TC0700X
Clinical Psychologist
Primary
3280-057
WI
103TC0700X
Clinical Psychologist
3280-57
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100039912
WI
Enumeration date
07/28/2014
Last updated
05/06/2020
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