Individual
DR. MELISSA K SMOTHERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
10425 W NORTH AVE, STE 239, WAUWATOSA, WI 53226-2416
(262) 785-9188
Mailing address
10425 W NORTH AVE, STE 239, WAUWATOSA, WI 53226-2416
(262) 785-9188
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
3039-57
WI
Other
Enumeration date
01/23/2013
Last updated
02/14/2018
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