Individual
ALEXA MOULOPOULOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD, LP
Contact information
Practice address
6110 N PORT WASHINGTON RD, GLENDALE, WI 53217-4308
(414) 962-1000
Mailing address
6110 N PORT WASHINGTON RD, GLENDALE, WI 53217-4308
(414) 962-1000
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
397657
WI
Other
Enumeration date
08/30/2021
Last updated
01/30/2022
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