Organization
SHORE COUNSELING AND CONSULTING CLINIC, S.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS TROAST PHD (CLINICAL DIRECTOR)
(414) 771-9304
Entity
Organization
Contact information
Practice address
2600 N MAYFAIR RD, SUITE 650, MILWAUKEE, WI 53226-1309
(414) 771-9304
(414) 771-9543
Mailing address
2600 N MAYFAIR RD, SUITE 650, MILWAUKEE, WI 53226-1309
(414) 771-9304
(414) 771-9543
Taxonomy
Speciality
Code
Description
License number
State
103TP2701X
Group Psychotherapy Psychologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
42247200
—
WI
Enumeration date
01/26/2007
Last updated
08/04/2015
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