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Individual

DR. AMANDA ANN BLECK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PH.D.

Contact information

Practice address
9000 W WISCONSIN AVE, MILWAUKEE, WI 53226-4874
(414) 266-2932
(414) 266-3735
Mailing address
9000 W WISCONSIN AVE, MILWAUKEE, WI 53226-4874
(414) 266-2932
(414) 266-3735

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
3185
WI
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
3185
WI
103TC2200X
Clinical Child & Adolescent Psychologist

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1952656993
WI
Enumeration date
07/16/2012
Last updated
07/10/2023
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