Individual
TERRILL LEWIS BRUETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ED.D.
Contact information
Practice address
2717 GRANDVIEW BLVD SUITE 303, WAUKESHA, WI 53188
(262) 544-6486
(262) 544-6377
Mailing address
405 OAKWOOD DR, THIENSVILLE, WI 53092-1327
(262) 242-9405
(262) 544-6377
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
480-057
WI
Other
Enumeration date
10/05/2006
Last updated
07/08/2007
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