Individual provider · Type 1 NPI

Russell Wieston Brethauer, PSYD.

Clinical Psychologist · Elm Grove, WI

NPI number 1023062528 Active

Practice location

700 Pilgrim Pkwy, Suite 201
Elm Grove, WI 53122-2063

Fax (262) 785-5586

Specialties and licenses

TaxonomyCodeLicense
Clinical Psychologist Primary 103TC0700X983 (WI)
Marriage & Family Therapist 106H00000X185 (WI)

Clinical Psychologist: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of discip…

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About NPI 1023062528

Russell Wieston Brethauer, PSYD.'s National Provider Identifier is 1023062528, issued on May 19, 2006. The primary taxonomy on file is Clinical Psychologist (103TC0700X), and the practice location is in Elm Grove, WI. The record was last updated on Oct 18, 2007.