Organization
ASSOCIATED WOMEN PSYCHOTHERAPISTS, SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KAREN KATHIE WYSZKOWSKI (OFFICE MANAGER)
(414) 476-2699
Entity
Organization
Contact information
Practice address
10625 W. NORTH AVENUE, #208, WAUWATOSA, WI 53226
(414) 476-2699
(414) 476-9643
Mailing address
10625 W. NORTH AVENUE, #208, WAUWATOSA, WI 53226
(414) 476-2699
(414) 476-9643
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
124-057
WI
103T00000X
Psychologist
2144-057
WI
103T00000X
Psychologist
988-057
WI
2084P0800X
Psychiatry Physician
20250-020
WI
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
42121300
—
WI
Enumeration date
12/28/2006
Last updated
11/15/2011
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