| Midwest Psychological Associates, Llc | |
|
21140 W Capitol Dr Ste 2 Brookfield WI 53072-2906 | |
| (401) 702-3414 | |
| Not Available |
| Full Name | Midwest Psychological Associates, Llc |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 21140 W Capitol Dr Ste 2, Brookfield, Wisconsin |
| Authorized Official Name and Position | Katie Ann Mcgravey (CLINICAL PSYCHOLOGIST) |
| Authorized Official Contact | 4017023414 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Midwest Psychological Associates, Llc 21140 W Capitol Dr Ste 2 Brookfield WI 53072-2906 Ph: (401) 702-3414 | Midwest Psychological Associates, Llc 21140 W Capitol Dr Ste 2 Brookfield WI 53072-2906 Ph: (401) 702-3414 |
| NPI Number | 1205657715 |
|---|---|
| Provider Enumeration Date | 10/18/2024 |
| Last Update Date | 10/18/2024 |
| Certification Date | 10/18/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205657715 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC2200X | Psychologist - Clinical Child & Adolescent | (* (Not Available)) | Secondary |
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
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