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Individual

KATHERINE ANNE FROST

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PH.D.

Contact information

Practice address
721 AMERICAN AVE, SUITE 501, WAUKESHA, WI 53188-5071
(262) 928-4036
(262) 928-5096
Mailing address
721 AMERICAN AVE, SUITE 501, WAUKESHA, WI 53188-5071
(262) 928-4036
(262) 928-5096

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
3203-57
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
3203-57
WI PSYCHOLOGY LICENSE
WI
Enumeration date
05/02/2014
Last updated
09/02/2014
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