Individual
MRS. MARTHA L RUNGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
5000 W NATIONAL AVE, MILWAUKEE, WI 53295-2203
(414) 384-2000
(414) 382-5298
Mailing address
5000 W NATIONAL AVE, MILWAUKEE, WI 53295-2203
(414) 384-2000
(414) 382-5298
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
WI2069
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
39650200
—
WI
Enumeration date
06/07/2006
Last updated
02/26/2014
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