Organization
MEDICAL PSYCHOLOGY ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KELLY SMERZ PH.D. (DIRECTOR)
(414) 962-1000
Entity
Organization
Contact information
Practice address
6110 N PORT WASHINGTON RD, GLENDALE, WI 53217-4308
(414) 962-1000
(414) 963-6866
Mailing address
6110 N PORT WASHINGTON RD, GLENDALE, WI 53217-4308
(414) 962-1000
(414) 963-6866
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
984-57
WI
Other
Enumeration date
11/06/2014
Last updated
11/06/2014
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