Individual
DR. DANIELA A JARAMILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY D
Contact information
Practice address
5800 N BAYSHORE DRIVE, A250, GLENDALE, WI 53217-4536
(414) 962-6764
(414) 962-6765
Mailing address
5800 N BAYSHORE DRIVE, A250, GLENDALE, WI 53217-4536
(414) 962-6764
(414) 962-6765
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
2305
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
39770600
—
WI
Enumeration date
10/24/2006
Last updated
07/08/2007
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