Individual
JON P MARSCHALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSYD
Contact information
Practice address
721 AMERICAN AVE, SUITE 501, WAUKESHA, WI 53188-5071
(262) 928-2396
(262) 544-1213
Mailing address
721 AMERICAN AVE, SUITE 501, WAUKESHA, WI 53188-5071
(262) 928-2396
(262) 544-1213
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
1872-057
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
39606700
—
WI
Enumeration date
11/13/2006
Last updated
07/08/2007
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