| Autism Intervention Milwaukee | |
|
2645 N Mayfair Rd Suite 250 Wauwatosa WI 53226-1304 | |
| (414) 256-0077 | |
| (414) 256-0090 |
| Full Name | Autism Intervention Milwaukee |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 2645 N Mayfair Rd, Wauwatosa, Wisconsin |
| Authorized Official Name and Position | Kathleen Broderick Woody (CLINIC DIRECTOR) |
| Authorized Official Contact | 4142560077 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Autism Intervention Milwaukee 2645 N Mayfair Rd Suite 250 Wauwatosa WI 53226-1304 Ph: (414) 256-0077 | Autism Intervention Milwaukee 2645 N Mayfair Rd Suite 250 Wauwatosa WI 53226-1304 Ph: (414) 256-0077 |
| NPI Number | 1821312059 |
|---|---|
| Provider Enumeration Date | 03/17/2010 |
| Last Update Date | 03/17/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821312059 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 2041-057 (Wisconsin) | Primary |
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