| Pediatric Neuropsychology And Treatment Associates, Sc | |
|
N27w23953 Paul Rd Ste. 206 Pewaukee WI 53072-6242 | |
| (262) 347-0701 | |
| (262) 347-0705 |
| Full Name | Pediatric Neuropsychology And Treatment Associates, Sc |
|---|---|
| Speciality | Psychologist - Clinical Child & Adolescent |
| Location | N27w23953 Paul Rd, Pewaukee, Wisconsin |
| Authorized Official Name and Position | Christopher Paul Wiebusch (PRESIDENT) |
| Authorized Official Contact | 2623470701 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pediatric Neuropsychology And Treatment Associates, Sc N27w23953 Paul Rd Ste. 206 Pewaukee WI 53072-6242 Ph: (262) 347-0701 | Pediatric Neuropsychology And Treatment Associates, Sc N27w23953 Paul Rd Ste. 206 Pewaukee WI 53072-6242 Ph: (262) 347-0701 |
| NPI Number | 1326265448 |
|---|---|
| Provider Enumeration Date | 04/19/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326265448 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103G00000X | Clinical Neuropsychologist | (* (Not Available)) | Primary |
| 103TC2200X | Psychologist - Clinical Child & Adolescent | (* (Not Available)) | Primary |
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