| Juliette Martin-thomas Phd Sc | |
|
8901 N 76th St Milwaukee WI 53223-1901 | |
| (414) 365-9444 | |
| Not Available |
| Full Name | Juliette Martin-thomas Phd Sc |
|---|---|
| Speciality | Psychologist |
| Location | 8901 N 76th St, Milwaukee, Wisconsin |
| Authorized Official Name and Position | Juliette Martin-thomas (OWNER/PRESIDENT) |
| Authorized Official Contact | 4143659444 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Juliette Martin-thomas Phd Sc 1001 W Glen Oaks Ln Ste 105 Mequon WI 53092-3369 Ph: (414) 365-3210 | Juliette Martin-thomas Phd Sc 8901 N 76th St Milwaukee WI 53223-1901 Ph: (414) 365-9444 |
| NPI Number | 1063433951 |
|---|---|
| Provider Enumeration Date | 07/23/2006 |
| Last Update Date | 10/11/2017 |
| Medicare PECOS PAC ID | 4688767064 |
|---|---|
| Medicare Enrollment ID | O20070830000121 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063433951 | NPI | - | NPPES |
| 39023900 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | (* (Not Available)) | Primary |
| Provider Name | Juliette M Martin Thomas |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1518907633 PECOS PAC ID: 2163515545 Enrollment ID: I20070830000099 |
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