Individual
DR. MELISSA J WESTENDORF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
J.D./PH.D.
Contact information
Practice address
14135 N CEDARBURG RD STE 1, MEQUON, WI 53097-1416
(414) 581-3236
(443) 264-1279
Mailing address
PO BOX 511653, MILWAUKEE, WI 53203-0281
(414) 581-3236
(443) 264-1279
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
2436-057
WI
103TF0200X
Forensic Psychologist
Primary
2436-057
WI
Other
Enumeration date
03/02/2009
Last updated
03/02/2009
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