Jennifer I Koop Olsta in Milwaukee - Clinical Neuropsychologist
Jennifer I Koop Olsta - NPI 1053362897
Jennifer I Koop Olsta is a Clinical Neuropsychologist in Milwaukee, Wisconsin. Jennifer I Koop Olsta practices all healthcare services and medical treatments related to Clinical Neuropsychologist. The NPI Number for Jennifer I Koop Olsta is 1053362897. The last update date is 2011-11-08.
Jennifer I Koop Olsta's current location address is 9200 W Wisconsin Ave, Milwaukee, Wisconsin. You can contact this provider via phone number 4148055660 and fax number 4142599012. The mailing address for Jennifer I Koop Olsta is 9200 W Wisconsin Ave, Milwaukee, Wisconsin. To know further, please read the information below!
Provider Profile Detail
Provider Name | Jennifer I Koop Olsta |
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Address | 9200 W Wisconsin Ave, Milwaukee, Wisconsin |
Phone Number | 4148055660 |
Fax Number | 4142599012 |
Sole Proprietor | N |
Credentials | PHD |
NPI Number Detail
NPI Number | 1053362897 |
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Provider Enumeration Date | 2006-05-15 |
Last Updated Date | 2011-11-08 |
Provider Mailing Address Detail
Address | 9200 W Wisconsin Ave |
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City | Milwaukee |
State | Wisconsin (WI) |
Post Code | 532263522 |
Phone Number | 4148055660 |
Fax Number | 4142599012 |
Provider's Primary Taxonomy Detail
Speciality | Clinical Neuropsychologist |
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Taxonomy | 103G00000X |
Licence No | 2558 |
Definition: A clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing th |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
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1053362897 | WI | -- | |
39149800 | WI | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Jennifer I Koop Olsta by the Centers for Medicare & Medicaid Services (CMS)?
The Jennifer I Koop Olsta has been assigned the NPI (National Provider Identifier) 1053362897. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please provide the complete physical location address of Jennifer I Koop Olsta?
The Jennifer I Koop Olsta is physically situated at 9200 W Wisconsin Ave, in the city of Milwaukee, state of WI, with the postal code 532263522.
What is Jennifer I Koop Olsta's area of expertise and its corresponding taxonomy classification?
The Jennifer I Koop Olsta's field of specialization is Clinical Neuropsychologist, and it falls under the taxonomy code 103G00000X, which categorizes healthcare providers based on their areas of practice.
When did the Jennifer I Koop Olsta receive its 1053362897?
The Jennifer I Koop Olsta was issued its 1053362897 on 2006-05-15, which is the date when the organization was assigned this unique identifier.
As of what date were the Jennifer I Koop Olsta's details last updated?
The information pertaining to the Jennifer I Koop Olsta, including its address, specialty, and other details, was most recently updated on 2011-11-08.