Individual
JIM MORNINGSTAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
4200 W GOOD HOPE RD, MILWAUKEE, WI 53209-2250
(414) 351-5770
(414) 351-5760
Mailing address
2728 N PROSPECT AVE, MILWAUKEE, WI 53211-3768
(414) 962-0213
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
473-057
WI
Other
Enumeration date
05/14/2007
Last updated
07/08/2007
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