Amanda Grace Prusow, - Psychologist in Brookfield, WI

Amanda Grace Prusow, is a Psychologist - Cognitive & Behavioral based in Brookfield, Wisconsin. Amanda Grace Prusow is licensed to practice in * (Not Available) (license number ) and her current practice location is 200 N Patrick Blvd Unit 250, Brookfield, Wisconsin. She can be reached at her office (for appointments etc.) via phone at (888) 754-0398.

NPI number for Amanda Grace Prusow is 1730828088 and her current mailing address is 5200 N Diversey Blvd Apt 302, Whitefish Bay, Wisconsin. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1730828088.

Contact Information

Amanda Grace Prusow,
200 N Patrick Blvd Unit 250,
Brookfield, WI 53045-5883
(888) 754-0398
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameAmanda Grace Prusow
GenderFemale
SpecialityPsychologist - Cognitive & Behavioral
Location200 N Patrick Blvd Unit 250, Brookfield, Wisconsin
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1730828088
  • Provider Enumeration Date: 06/02/2022
  • Last Update Date: 06/02/2022

Medical Identifiers

Medical identifiers for Amanda Grace Prusow such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1730828088NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103TB0200XPsychologist - Cognitive & Behavioral (* (Not Available))Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Amanda Grace Prusow is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Amanda Grace Prusow,
5200 N Diversey Blvd Apt 302,
Whitefish Bay, WI 53217-5172

Ph: (920) 889-6510
Amanda Grace Prusow,
200 N Patrick Blvd Unit 250,
Brookfield, WI 53045-5883

Ph: (888) 754-0398

Reviews and Comments


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