Individual
DR. NATASHA BASU
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Credential
PHD
Contact information
Practice address
850 ELM GROVE RD STE 17, ELM GROVE, WI 53122-2527
(414) 909-0110
Mailing address
850 ELM GROVE RD STE 17, ELM GROVE, WI 53122-2527
(414) 909-0110
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
544357
WI
Other
Enumeration date
10/01/2025
Last updated
11/08/2025
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