Individual
DR. JONATHAN T GRAPENGIESER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSYD
Contact information
Practice address
1126 S 70TH ST, SUITE S507, WEST ALLIS, WI 53214-3151
(414) 475-2788
(414) 476-8695
Mailing address
1126 S 70TH ST, SUITE S507, WEST ALLIS, WI 53214-3151
(414) 475-2788
(414) 476-8695
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
3170-57
WI
Other
Enumeration date
09/19/2012
Last updated
09/10/2014
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