Summit Psychology Clinic Sc | |
933 N Mayfair Rd Ste 303 Wauwatosa WI 53226 | |
(414) 258-8488 | |
(414) 258-8838 |
Full Name | Summit Psychology Clinic Sc |
---|---|
Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
Location | 933 N Mayfair Rd, Wauwatosa, Wisconsin |
Authorized Official Name and Position | Jeanne Marie Herzog (CLINICAL DIRECTOR PSYCHOLOGIST) |
Authorized Official Contact | 4142588488 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Summit Psychology Clinic Sc 933 N Mayfair Rd Ste 303 Wauwatosa WI 53226 Ph: (414) 258-8488 | Summit Psychology Clinic Sc 933 N Mayfair Rd Ste 303 Wauwatosa WI 53226 Ph: (414) 258-8488 |
NPI Number | 1073722211 |
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Provider Enumeration Date | 05/22/2007 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1073722211 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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› Verified 5 days ago
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