Individual
DR. TRACEY E LATZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
12760 W NORTH AVE, BUILDING A, BROOKFIELD, WI 53005-4628
(262) 439-5500
(866) 439-5221
Mailing address
12760 W NORTH AVE, BUILDING A, BROOKFIELD, WI 53005-4628
(262) 439-5500
(866) 439-5221
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
3601-125
WI
103T00000X
Psychologist
Primary
3102-57
WI
Other
Enumeration date
08/23/2006
Last updated
01/18/2022
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