Individual
MS. MICHELLE SHASHA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
1155 N MAYFAIR RD, DEPT OF PSYCHIATRY, MILWAUKEE, WI 53226-3462
(414) 955-8900
(414) 955-6285
Mailing address
1155 N MAYFAIR RD, DEPT OF PSYCHIATRY, MILWAUKEE, WI 53226-3462
(414) 955-8900
(414) 955-6285
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
2623
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1639280142
—
WI
Enumeration date
08/31/2006
Last updated
10/01/2014
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