| Robert Chucka Psyd Llc | |
|
250 E Wisconsin Ave Ste 1800 Milwaukee WI 53202-4232 | |
| (414) 289-7155 | |
| (888) 937-9789 |
| Full Name | Robert Chucka Psyd Llc |
|---|---|
| Speciality | Psychologist |
| Location | 250 E Wisconsin Ave, Milwaukee, Wisconsin |
| Authorized Official Name and Position | Robert A Chucka (PSYCHOLOGIST) |
| Authorized Official Contact | 4144832204 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Robert Chucka Psyd Llc 250 E Wisconsin Ave Ste 1800 Milwaukee WI 53202-4232 Ph: (414) 289-7155 | Robert Chucka Psyd Llc 250 E Wisconsin Ave Ste 1800 Milwaukee WI 53202-4232 Ph: (414) 289-7155 |
| NPI Number | 1962867812 |
|---|---|
| Provider Enumeration Date | 12/18/2015 |
| Last Update Date | 02/24/2016 |
| Medicare PECOS PAC ID | 7719282458 |
|---|---|
| Medicare Enrollment ID | O20160218000446 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962867812 | NPI | - | NPPES |
| 42197700 | Medicaid | WI | |
| 1225057540 | Other | WI | NPI 1 (PERSONAL) |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | 2469-57 (Wisconsin) | Primary |
| Provider Name | Robert Anthony Chucka |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1225057540 PECOS PAC ID: 9335166222 Enrollment ID: I20051031000279 |
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