Individual
GREGORY C WOCHOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
600 WALNUT RIDGE DR, HARTLAND, WI 53029-9385
(262) 369-7068
(262) 369-7041
Mailing address
3301 W FOREST HOME AVE, MILWAUKEE, WI 53215-2843
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
3144
WI
103TC0700X
Clinical Psychologist
3144
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100034719
—
WI
Enumeration date
12/17/2013
Last updated
11/24/2021
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