Organization
PSYCHOLOGICAL PURPOSES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BENJAMIN RADER (PSYCHOLOGIST)
(262) 780-1405
Entity
Organization
Contact information
Practice address
3229 S ADAMS AVE, MILWAUKEE, WI 53207-2705
(773) 398-4648
Mailing address
3229 S ADAMS AVE, MILWAUKEE, WI 53207-2705
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
294557
WI
Other
Enumeration date
12/04/2013
Last updated
12/04/2013
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