Organization
COMPREHENSIVE CLINICAL AND CONSULTING SERVICES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ITZHAK MATUSIAK PHD (CLINIC DIRECTOR)
(414) 352-7682
Entity
Organization
Contact information
Practice address
7161 N PORT WASHINGTON RD, SUITE 102, MILWAUKEE, WI 53217-3877
(414) 352-7682
(414) 352-7625
Mailing address
7161 N PORT WASHINGTON RD, SUITE 102, MILWAUKEE, WI 53217-3877
(414) 352-7682
(414) 352-7625
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
1233
WI
Other
Enumeration date
01/16/2008
Last updated
01/16/2008
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