Organization
CORE SPRING DIAGNOSTICS W.I. S.C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACOB DOV (OFFICER)
(516) 592-3079
Entity
Organization
Contact information
Practice address
10625 W NORTH AVE STE LL1, WAUWATOSA, WI 53226-2330
(414) 387-2100
(414) 387-2102
Mailing address
10625 W NORTH AVE STE LL1, WAUWATOSA, WI 53226-2330
(414) 387-2100
(414) 387-2102
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
—
Other
Enumeration date
07/07/2026
Last updated
07/07/2026
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