Individual
ROGER S KAMINSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSYD
Contact information
Practice address
2025 E NEWPORT AVE, MILWAUKEE, WI 53211-2906
(414) 298-6739
Mailing address
2025 E NEWPORT AVE, MILWAUKEE, WI 53211-2906
(414) 298-6739
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
1486-057
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
39122900
—
WI
Enumeration date
07/03/2006
Last updated
07/08/2007
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