Organization · Type 2 NPI

Pediatric Psychology Associates LLC

Clinical Psychologist · Wauwatosa, WI

NPI number 1124193065 Active

Practice location

3636 N 124th St, 3rd Floor
Wauwatosa, WI 53222-2125

Fax (414) 476-3413

Specialties and licenses

TaxonomyCodeLicense
Clinical Psychologist Primary 103TC0700X613 057 (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 1124193065

Pediatric Psychology Associates LLC's National Provider Identifier is 1124193065, issued on Nov 22, 2006. The primary taxonomy on file is Clinical Psychologist (103TC0700X), and the practice location is in Wauwatosa, WI. The record was last updated on Sep 27, 2016.