| Core Spring Diagnostics W.i. S.c | |
|
10625 W North Ave Ste Ll1 Wauwatosa WI 53226-2330 | |
| (414) 387-2100 | |
| (414) 387-2102 |
| Full Name | Core Spring Diagnostics W.i. S.c |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 10625 W North Ave Ste Ll1, Wauwatosa, Wisconsin |
| Authorized Official Name and Position | Jacob Dov (OFFICER) |
| Authorized Official Contact | 5165923079 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Core Spring Diagnostics W.i. S.c 10625 W North Ave Ste Ll1 Wauwatosa WI 53226-2330 Ph: (414) 387-2100 | Core Spring Diagnostics W.i. S.c 10625 W North Ave Ste Ll1 Wauwatosa WI 53226-2330 Ph: (414) 387-2100 |
| NPI Number | 1720906878 |
|---|---|
| Provider Enumeration Date | 07/07/2026 |
| Last Update Date | 07/07/2026 |
| Certification Date | 07/07/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720906878 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
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