Individual provider · Type 1 NPI

Mohamed Isse Omar

Intellectual & Developmental Disabilities Psychologist · Middleton, WI

NPI number 1255249678 Active

Practice location

5122 Churchill Ln # 18
Middleton, WI 53562-2124

Specialties and licenses

TaxonomyCodeLicense
Intellectual & Developmental Disabilities Psychologist Primary 103TM1800XW000-137481400 (MN)

Intellectual & Developmental Disabilities Psychologist: Definition to come...

About NPI 1255249678

Mohamed Isse Omar's National Provider Identifier is 1255249678, issued on Aug 28, 2026. The primary taxonomy on file is Intellectual & Developmental Disabilities Psychologist (103TM1800X), and the practice location is in Middleton, WI. The record was last updated on Aug 28, 2026.