Individual
PAMELA S PRESTBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
2600 N MAYFAIR RD STE 650, WAUWATOSA, WI 53226-1322
(414) 771-9304
(414) 771-9543
Mailing address
2600 N MAYFAIR RD STE 650, WAUWATOSA, WI 53226-1322
(414) 771-9304
(414) 771-9543
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
2250057
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
39131900
—
WI
Enumeration date
03/30/2007
Last updated
02/11/2011
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