Individual
DR. KATHLEEN POAG LONGEWAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
9000 W WISCONSIN AVE, DEPT OF PSYCHIATRY, MILWAUKEE, WI 53226-3518
(414) 266-2932
(414) 266-3735
Mailing address
PO BOX 1997, MS 750, MILWAUKEE, WI 53201-1977
(414) 266-2932
(414) 266-3735
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
1087
WI
Other
Enumeration date
09/30/2006
Last updated
07/08/2007
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