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Individual

DR. RICHARD EDWARD BRIGHAM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PSY.D.

Contact information

Practice address
11035 W FOREST HOME AVE, SUITE 122, HALES CORNERS, WI 53130-2541
(414) 425-4447
Mailing address
11035 W FOREST HOME AVE, SUITE 122, HALES CORNERS, WI 53130-2541
(414) 425-4447

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
057-1455
WI

Other

Enumeration date
05/22/2007
Last updated
07/08/2007
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