Individual
DR. BETTIE JANE LARUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
1220 DEWEY AVE, MILWAUKEE, WI 53213
(414) 454-6707
(414) 454-6747
Mailing address
3301 W FOREST HOME AVE, MILWAUKEE, WI 53215-2843
(414) 647-6326
(414) 671-8860
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
2380-057
WI
103T00000X
Psychologist
Primary
53445-030
WI
Other
Enumeration date
08/28/2006
Last updated
07/08/2007
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