| Dr Michelle L Iyamah Psychodiagnostics Llc | |
|
933 N Mayfair Rd Ste 101 Wauwatosa WI 53226-3432 | |
| (414) 551-4773 | |
| Not Available |
| Full Name | Dr Michelle L Iyamah Psychodiagnostics Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 933 N Mayfair Rd Ste 101, Wauwatosa, Wisconsin |
| Authorized Official Name and Position | Pascal Sharmilee (MEDICAL BILLER) |
| Authorized Official Contact | 2624320919 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Michelle L Iyamah Psychodiagnostics Llc 933 N Mayfair Rd Ste 101 Wauwatosa WI 53226-3432 Ph: (414) 551-4773 | Dr Michelle L Iyamah Psychodiagnostics Llc 933 N Mayfair Rd Ste 101 Wauwatosa WI 53226-3432 Ph: (414) 551-4773 |
| NPI Number | 1336628346 |
|---|---|
| Provider Enumeration Date | 08/09/2018 |
| Last Update Date | 08/09/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336628346 | NPI | - | NPPES |
| 100004821 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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