Individual provider · Type 1 NPI

Ajeng Juwita Puspitasari, PhD

Clinical Psychologist · Milwaukee, WI

NPI number 1346769759 Active

Practice location

2153 N Dr Martin Luther King Dr Ste 2500
Milwaukee, WI 53212-3101

Fax (414) 955-0146

Other practice locations

  • 200 1st St SW, Rochester, MN 55905 · (507) 284-2511

Specialties and licenses

TaxonomyCodeLicense
Clinical Psychologist Primary 103TC0700X5074-057 (WI)
Clinical Psychologist 103TC0700XLP6254 (MN)

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 1346769759

Ajeng Juwita Puspitasari, PhD's National Provider Identifier is 1346769759, issued on Sep 18, 2017. The primary taxonomy on file is Clinical Psychologist (103TC0700X), and the practice location is in Milwaukee, WI. The record was last updated on Aug 20, 2026.