| Keyonta Latrise Johnson- Sims, | |
|
1871 Wallace Lake Rd, West Bend, WI 53090-9074 | |
| (414) 915-1531 | |
| Not Available |
| Full Name | Keyonta Latrise Johnson- Sims |
|---|---|
| Gender | Female |
| Speciality | Psychologist - Adult Development & Aging |
| Location | 1871 Wallace Lake Rd, West Bend, Wisconsin |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417749755 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TA0700X | Psychologist - Adult Development & Aging | 0020200 (Wisconsin) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Keyonta Latrise Johnson- Sims, 2144 N 33rd St, Milwaukee, WI 53208-1426 Ph: (414) 915-1531 | Keyonta Latrise Johnson- Sims, 1871 Wallace Lake Rd, West Bend, WI 53090-9074 Ph: (414) 915-1531 |
William Drankiewicz, PSY.D Psychologist Medicare: Not Enrolled in Medicare Practice Location: 333 E Washington St, Suite 2000, West Bend, WI 53095 Phone: 262-335-4545 Fax: 262-335-6827 | |
Karen Tucker, PH.D Psychologist Medicare: Not Enrolled in Medicare Practice Location: 333 E Washington St, Suite 2000, West Bend, WI 53095 Phone: 262-335-4545 Fax: 262-335-6827 | |
Dr. James Kevin Giese, PHD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 400 W River Drive, West Bend, WI 53090 Phone: 262-338-2717 Fax: 262-338-9767 | |
Dr. Gerald Matthew Roherty, PH.D Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1784 Barton Ave, Suite Number 16, West Bend, WI 53090 Phone: 262-334-1322 Fax: 262-334-1325 |