| Neuropsychological Services Of Southeastern Wisconsin,ltd | |
|
200 S Executive Dr Ste 101 Brookfield WI 53005-4216 | |
| (262) 780-1592 | |
| (262) 303-4161 |
| Full Name | Neuropsychological Services Of Southeastern Wisconsin,ltd |
|---|---|
| Speciality | Clinical Neuropsychologist |
| Location | 200 S Executive Dr Ste 101, Brookfield, Wisconsin |
| Authorized Official Name and Position | Pamela Mcmurray (NEUROPSYCHOLOGIST/OWNER) |
| Authorized Official Contact | 2627514499 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Neuropsychological Services Of Southeastern Wisconsin,ltd 1132 S Waterville Lake Rd Oconomowoc WI 53066-8401 Ph: (262) 751-4499 | Neuropsychological Services Of Southeastern Wisconsin,ltd 200 S Executive Dr Ste 101 Brookfield WI 53005-4216 Ph: (262) 780-1592 |
| NPI Number | 1902456569 |
|---|---|
| Provider Enumeration Date | 09/16/2019 |
| Last Update Date | 12/03/2020 |
| Certification Date | 12/03/2020 |
| Medicare PECOS PAC ID | 2769713254 |
|---|---|
| Medicare Enrollment ID | O20191015001009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902456569 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103G00000X | Clinical Neuropsychologist | (* (Not Available)) | Primary |
| Provider Name | Pamela J Mcmurray |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1114098704 PECOS PAC ID: 6002094695 Enrollment ID: I20110630000227 |
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