NPI 1013172600

James Jeffrey Crisco, PHD

Practitioner Clinical Child & Adolescent Psychologist Wauwatosa, WI

Practice location

Address: 3636 N 124th St Suite 200, Wauwatosa, WI 53222-2125
Phone: (414) 476-9755
Fax: (414) 476-3413

Registered specialties

Clinical Child & Adolescent Psychologist Primary

Behavioral Health & Social Service Providers Taxonomy 103TC2200X Licence 613-057 (WI)

Other Psychologist providers in Wisconsin →

Registry record

NPI: 1013172600
Entity type: Individual
Sex (as registered): Male
NPI issued: 23 Jul 2008
Record last updated: 22 Apr 2009

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.