Individual
JULIETTE MARTIN THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
8901 NORTH 76TH STREET, MILWAUKEE, WI 53223
(414) 365-9444
(262) 241-0773
Mailing address
1001 W GLEN OAKS LN, SUITE 105, MEQUON, WI 53092-3365
(414) 365-3210
(414) 365-2937
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
906057
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
39023900
—
WI
Enumeration date
06/07/2006
Last updated
10/11/2017
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