Individual
DR. MARY VIRGINIA HESS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D
Contact information
Practice address
1570 E MORELAND BLVD, WAUKESHA, WI 53186-3913
(262) 544-9622
(262) 522-3681
Mailing address
1570 E MORELAND BLVD, WAUKESHA, WI 53186-3913
(262) 544-9622
(262) 522-3681
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
2304-057
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
39278400
—
WI
Enumeration date
09/25/2006
Last updated
07/09/2007
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