Individual
DR. TRACY RENEE PRITZL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D, BCBA-D
Contact information
Practice address
3636 N 124TH ST, SUITE 200, WAUWATOSA, WI 53222
(414) 476-9755
(414) 476-3413
Mailing address
3636 N 124TH ST, SUITE 200, WAUWATOSA, WI 53222
(414) 476-9755
(414) 476-3413
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
44-140
WI
103TC0700X
Clinical Psychologist
Primary
2825-27
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1427243369
—
WI
Enumeration date
09/13/2007
Last updated
07/18/2013
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