| Tosa Psychological Services Llc | |
|
10425 W North Ave Ste 350 Wauwatosa WI 53226-2416 | |
| (414) 522-7899 | |
| Not Available |
| Full Name | Tosa Psychological Services Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 10425 W North Ave Ste 350, Wauwatosa, Wisconsin |
| Authorized Official Name and Position | Domenick Tirabassi (OWNER) |
| Authorized Official Contact | 2628189888 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tosa Psychological Services Llc 2796 N 98th St Milwaukee WI 53222-4551 Ph: () - | Tosa Psychological Services Llc 10425 W North Ave Ste 350 Wauwatosa WI 53226-2416 Ph: (414) 522-7899 |
| NPI Number | 1164256038 |
|---|---|
| Provider Enumeration Date | 08/31/2024 |
| Last Update Date | 08/31/2024 |
| Certification Date | 08/31/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164256038 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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