Individual
DR. JAY J CHROSTOWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSYD
Contact information
Practice address
1220 DEWEY AVE, LORTON II, WAUWATOSA, WI 53213
(414) 454-6500
(414) 454-6522
Mailing address
3301 W FOREST HOME AVE, MILWAUKEE, WI 53215-2843
(414) 647-6326
(414) 671-8860
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
1682-057
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
39095400
—
WI
Enumeration date
08/07/2006
Last updated
11/30/2021
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