Individual
EGWE ELVIS AKEME
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
215 S MORELAND BLVD, WAUKESHA, WI 53188-4909
(408) 661-3993
Mailing address
215 S MORELAND BLVD, WAUKESHA, WI 53188-4909
(408) 661-3993
Taxonomy
Speciality
Code
Description
License number
State
103TM1800X
Intellectual & Developmental Disabilities Psychologist
—
—
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
0019817
WI
320700000X
Physical Disabilities Residential Treatment Facility
0019817
WI
Other
Enumeration date
04/24/2025
Last updated
04/24/2025
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