Individual
DR. JULIE K JANECEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
9200 W WISCONSIN AVE, MILWAUKEE, WI 53226-3522
(414) 805-3666
Mailing address
9200 W WISCONSIN AVE, MILWAUKEE, WI 53226-3522
(414) 805-3666
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
3089-57
WI
103TC0700X
Clinical Psychologist
Primary
3089
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1811334139
—
WI
Enumeration date
05/28/2013
Last updated
10/14/2019
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