Whalio Doctors

NPI 1033215025

Family Care Psychological Services

Organisation Group Psychotherapy Psychologist Wauwatosa, WI

Practice location

Address
2500 N Mayfair Rd STE 560, Wauwatosa, WI 53226-1415
Phone
(414) 771-5002
Fax
(414) 771-2928

Authorised official

Name
Raymond Lueck
Title
Owner/Administrator
Phone
(414) 771-5002

Registered specialties

Group Psychotherapy Psychologist Primary
Behavioral Health & Social Service Providers Taxonomy 103TP2701X Licence HFS 61.91 (WI)

Registry record

NPI
1033215025
Entity type
Organization
NPI issued
16 Sep 2006
Record last updated
22 Aug 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.