Jeffrey L Polczinski Psyd Llc in Glendale - Psychologist
Jeffrey L Polczinski Psyd Llc - NPI 1124291976
Jeffrey L Polczinski Psyd Llc is a Psychologist in Glendale, Wisconsin. Jeffrey L Polczinski Psyd Llc practices all healthcare services and medical treatments related to Psychologist. The NPI Number for Jeffrey L Polczinski Psyd Llc is 1124291976. The last update date is 2011-10-19.
Jeffrey L Polczinski Psyd Llc's current location address is 5555 N Port Washington Rd, Glendale, Wisconsin. You can contact this provider via phone number 4149679550 and fax number 4149679550. The mailing address for Jeffrey L Polczinski Psyd Llc is 5555 N Port Washington Rd, Glendale, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Jeffrey L Polczinski Psyd Llc |
|---|---|
| Address | 5555 N Port Washington Rd, Glendale, Wisconsin |
| Phone Number | 4149679550 |
| Fax Number | 4149679550 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PSYCHOLOGI |
|---|---|
| Authorized Official Name | Polczinski L Jeffrey |
| Credentials | PSYD |
| Telephone Number | 4149679550 |
NPI Number Detail
| NPI Number | 1124291976 |
|---|---|
| Provider Enumeration Date | 2008-04-11 |
| Last Updated Date | 2011-10-19 |
Provider Mailing Address Detail
| Address | 5555 N Port Washington Rd |
|---|---|
| City | Glendale |
| State | Wisconsin (WI) |
| Post Code | 53217 |
| Phone Number | 4149679550 |
| Fax Number | 4149679550 |
Provider's Primary Taxonomy Detail
| Speciality | Psychologist |
|---|---|
| Taxonomy | 103T00000X |
| Licence No | 1641057 |
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Definition: A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and proce |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 39131300 | WI | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Jeffrey L Polczinski Psyd Llc by the Centers for Medicare & Medicaid Services?
The Jeffrey L Polczinski Psyd Llc has been issued the NPI (National Provider Identifier) 1124291976, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Jeffrey L Polczinski Psyd Llc?
The Jeffrey L Polczinski Psyd Llc is situated at 5555 N Port Washington Rd, in the city of Glendale, state of WI, with the zip code 53217.
What is the Jeffrey L Polczinski Psyd Llc's area of specialization and corresponding taxonomy classification?
The Jeffrey L Polczinski Psyd Llc's specialty field is Psychologist, and it falls under the taxonomy code 103T00000X, which categorizes healthcare providers based on their specialties.
When did Jeffrey L Polczinski Psyd Llc receive its 1124291976 assignment?
The Jeffrey L Polczinski Psyd Llc was assigned its 1124291976 on 2008-04-11, which is the date when this unique identifier was issued to the organization.
When was the Jeffrey L Polczinski Psyd Llc's information last updated?
The Jeffrey L Polczinski Psyd Llc's information was last updated on 2011-10-19.
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