Organization
INTENTIONAL PSYCHOLOGY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHANNA R THOMSEN CLINICAL PSYCHOLOGY (OWNER)
(414) 279-9082
Entity
Organization
Contact information
Practice address
N14W23777 STONE RIDGE DR STE 135, WAUKESHA, WI 53188-1164
(414) 279-9082
(414) 501-4399
Mailing address
N14W23777 STONE RIDGE DR STE 135, WAUKESHA, WI 53188-1164
(414) 279-9082
(414) 501-4399
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
—
Other
Enumeration date
06/05/2023
Last updated
04/24/2026
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