Individual
MRS. JENNIFER M CARRASCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A. PHD
Contact information
Practice address
2555 N DR MARTIN LUTHER KING DR, MILWAUKEE, WI 53212-2709
(414) 372-8080
(414) 267-8570
Mailing address
2555 N DR MARTIN LUTHER KING JR DR, MILWAUKEE, WI 53212-2709
(414) 372-8080
(414) 372-7425
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
3124-57
WI
103TC0700X
Clinical Psychologist
3124-57
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100015903
—
WI
Enumeration date
06/20/2011
Last updated
07/03/2024
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us