Organization
MORESCO-GONIU PSYCHOLOGICAL SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CAROL LYNN MORESCO-GONIU PH.D. (OWNER/CLINIC DIRECTOR)
(262) 347-8848
Entity
Organization
Contact information
Practice address
7733 W BURLEIGH ST, MILWAUKEE, WI 53222-5003
(262) 347-8848
Mailing address
N33W23374 GREENBRIAR CT, PEWAUKEE, WI 53072-5721
(262) 347-8848
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
1151-057
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
39106900
—
WI
Enumeration date
07/30/2006
Last updated
05/30/2024
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