Individual
DR. RONALD PAUL PUPP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
1212 S 70TH ST, WEST ALLIS, WI 53214-3105
(414) 453-2035
(414) 453-2538
Mailing address
690 S OAK PARK CT, MILWAUKEE, WI 53214-1933
(414) 476-2992
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
3354-125
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3354-125
LICENSED PROFESSIONAL COU
WI
05
—
39745200
—
WI
Enumeration date
08/05/2006
Last updated
07/08/2007
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