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Individual

DR. BETHANY JEAN LO PRESTI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PH.D.

Contact information

Practice address
1155 N MAYFAIR RD, MILWAUKEE, WI 53226-3462
(414) 955-5990
(414) 955-6282
Mailing address
1155 N MAYFAIR RD, MILWAUKEE, WI 53226-3462
(414) 955-5990
(414) 955-6282

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
071007968
IL
103TC0700X
Clinical Psychologist
Primary
3207
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1952618217
WI
Enumeration date
09/08/2010
Last updated
05/28/2020
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