Organization
BROOKDALE CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ILANA HADAR PHD (OWNER)
(262) 717-0077
Entity
Organization
Contact information
Practice address
20700 WATERTOWN RD, STE 206, WAUKESHA, WI 53186
(262) 513-0700
(262) 513-0707
Mailing address
2717 N GRANDVIEW BLVD, STE 202, WAUKESHA, WI 53188
(262) 513-0700
(262) 513-0707
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
904 057
WI
Other
Enumeration date
11/16/2006
Last updated
08/22/2020
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