NPI 1124193065

Pediatric Psychology Associates LLC

Organisation Clinical Psychologist Wauwatosa, WI

Practice location

Address: 3636 N 124th St 3rd Floor, Wauwatosa, WI 53222-2125
Phone: (414) 476-9755
Fax: (414) 476-3413

Authorised official

Name: Tracy R Pritzl
Title: Director Owner
Phone: (414) 476-9755

Registered specialties

Clinical Psychologist Primary

Behavioral Health & Social Service Providers Taxonomy 103TC0700X Licence 613 057 (WI)

Other Psychologist providers in Wisconsin →

Registry record

NPI: 1124193065
Entity type: Organization
NPI issued: 22 Nov 2006
Record last updated: 27 Sep 2016

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.