Organization
COUNTY OF MILWAUKEE
Active
Other names
Milwaukee County Behavioral Health Psychological Associates
Organization subpart
No
Provider details
NPI number
Authorized official
SHERI DUQUAINE (PATIENT ACCOUNTS MANAGER)
(414) 391-8172
Entity
Organization
Contact information
Practice address
1220 W VLIET ST FL 3, MILWAUKEE, WI 53205-2117
(414) 257-6995
Mailing address
1220 W VLIET ST FL 3, MILWAUKEE, WI 53205-2117
(414) 257-6995
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000812
MEDICARE PTAN
WI
05
—
43551200
—
WI
Enumeration date
12/14/2006
Last updated
04/13/2023
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