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Individual

DR. MICHELLE LEA THOMPSON IYAMAH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PSY.D.

Contact information

Practice address
1233 N MAYFAIR RD, WAUWATOSA, WI 53226-3255
(414) 302-1233
(414) 306-2922
Mailing address
9541 S WINCHESTER AVE, CHICAGO, IL 60643-1113
(708) 203-5265

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
071004708
IL
103T00000X
Psychologist
Primary
2659057
WI

Other

Enumeration date
07/20/2009
Last updated
07/20/2009
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