Organization
MILWAUKEE MIND SOLUTIONS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. PRACHI APOSTOLOS (CLINIC MANAGER)
(224) 723-5050
Entity
Organization
Contact information
Practice address
3970 N OAKLAND AVE, SHOREWOOD, WI 53211-2265
(224) 723-5050
(224) 723-5289
Mailing address
3970 N OAKLAND AVE, SHOREWOOD, WI 53211-2265
(224) 723-5050
(224) 723-5289
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3169-57
PRIVATE INSURANCE
WI
Enumeration date
12/20/2019
Last updated
12/20/2019
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