Individual
JOHN GRYCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D
Contact information
Practice address
604 N 16TH ST, MILWAUKEE, WI 53233-2117
(414) 288-7460
Mailing address
604 N 16TH ST, MILWAUKEE, WI 53233-2117
(414) 288-7460
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
1859-57
WI
Other
Enumeration date
10/07/2022
Last updated
10/07/2022
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