Individual provider · Type 1 NPI
Mary Jo Kupst, PhD
Psychologist · Milwaukee, WI
Practice location
9000 West Wisconsin Ave, Children's Hospital Of Wisconsin
Milwaukee, WI 53226
Mailing address
9000 W Wisconsin Ave, Children's Hospital Of Wisconsin
Milwaukee, WI 53226-3518
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychologist Primary | 103T00000X | 1479 (WI) |
Psychologist: A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustmen…
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About NPI 1124079967
Mary Jo Kupst, PhD's National Provider Identifier is 1124079967, issued on May 15, 2006. The primary taxonomy on file is Psychologist (103T00000X), and the practice location is in Milwaukee, WI. The record was last updated on Jul 8, 2007.