Individual
DR. WAYNE CHEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
10045 W LISBON AVE, WAUWATOSA, WI 53222
(414) 358-7144
(414) 358-7158
Mailing address
N99W14600 AMBER DR, GERMANTOWN, WI 53022-6611
(262) 365-8272
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
3429-57
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100034875
—
WI
Enumeration date
06/29/2011
Last updated
06/16/2018
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