Individual
DR. DAVID ANTHONY SONGCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
1121 E NORTH AVE, MILWAUKEE, WI 53212-3515
(414) 267-6502
(414) 267-3892
Mailing address
1121 E NORTH AVE, MILWAUKEE, WI 53212-3515
(414) 267-6502
(414) 267-3892
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
3241-57
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1881025864
—
WI
Enumeration date
12/02/2013
Last updated
11/17/2021
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