Individual
DR. DALE ANTHONY BESPALEC
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
9120 W HAMPTON AVE, SUITE 212, MILWAUKEE, WI 53225-4960
(414) 464-9777
(414) 358-5590
Mailing address
1911 MARYGLADE DR, GRAFTON, WI 53024-9656
(414) 464-9777
(414) 338-5590
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
676-057
WI
Other
Enumeration date
12/05/2006
Last updated
07/08/2007
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