Individual
MR. DOUG RYAN PULVERMACHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS LPC
Contact information
Practice address
3903 W LISBON AVE, MILWAUKEE, WI 53208
(414) 342-2060
(414) 342-3663
Mailing address
1244 N 68TH STREET, #207, WAUWATOSA, WI 53213
(414) 750-5261
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
3427125
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
40952100
—
WI
Enumeration date
07/11/2007
Last updated
07/11/2007
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