Individual
TERRI A DEROON-CASSINI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
9200 W WISCONSIN AVE, TRAUMA AND CRITICAL CARE SURGERY, MILWAUKEE, WI 53226-3522
(414) 805-8623
(414) 805-8641
Mailing address
9200 W WISCONSIN AVE, TRAUMA AND CRITICAL CARE SURGERY, MILWAUKEE, WI 53226-3522
(414) 805-8623
(414) 805-8641
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
2860
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1700100070
—
WI
Enumeration date
03/16/2010
Last updated
10/29/2012
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