Individual
DR. ELIZA S GODFREY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
1250 N 113TH ST STE 200, WAUWATOSA, WI 53226-3209
(262) 432-6600
(262) 432-6604
Mailing address
1250 N 113TH ST STE 200, WAUWATOSA, WI 53226-3209
(262) 432-6600
(262) 432-6604
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
5351-57
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1689354060
—
NE
Enumeration date
07/20/2023
Last updated
09/03/2025
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