| Adam N. Moriwaki, Psy.d., Llc | |
|
10425 W North Ave Ste 239 Wauwatosa WI 53226-2416 | |
| (414) 909-3014 | |
| Not Available |
| Full Name | Adam N. Moriwaki, Psy.d., Llc |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 10425 W North Ave Ste 239, Wauwatosa, Wisconsin |
| Authorized Official Name and Position | Adam Nelson Moriwaki (OWNER) |
| Authorized Official Contact | 4144030966 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Adam N. Moriwaki, Psy.d., Llc 2337 S 95th St West Allis WI 53227-2335 Ph: (414) 403-0966 | Adam N. Moriwaki, Psy.d., Llc 10425 W North Ave Ste 239 Wauwatosa WI 53226-2416 Ph: (414) 909-3014 |
| NPI Number | 1235647504 |
|---|---|
| Provider Enumeration Date | 01/19/2018 |
| Last Update Date | 01/19/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235647504 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | 3546-57 (Wisconsin) | Primary |
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