Whalio Doctors

NPI 1245425354

Neurobehavioral Health Clinic

Organisation Clinical Neuropsychologist Glendale, WI

Practice location

Address
6110 N Port Washington Rd, Glendale, WI 53217-4308
Phone
(414) 803-0231
Mailing address
419 W River Front Dr, Glendale, WI 53217-4460

Authorised official

Name
Kimberly M Rennie
Title
Owner
Phone
(414) 803-0231

Registered specialties (3)

Clinical Neuropsychologist Primary
Behavioral Health & Social Service Providers Taxonomy 103G00000X Licence 2478 (WI)
Psychologist
Behavioral Health & Social Service Providers Taxonomy 103T00000X Licence 2478 (WI)
Clinical Child & Adolescent Psychologist
Behavioral Health & Social Service Providers Taxonomy 103TC2200X Licence 2478 (WI)

Registry record

NPI
1245425354
Entity type
Organization
NPI issued
11 Sep 2007
Record last updated
11 Sep 2007

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.