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
Address 9200 W Wisconsin Ave, Milwaukee, Wisconsin
Phone Number 4148055660
Fax Number 4142599012
Sole Proprietor N
Credentials PHD

NPI Number Detail

NPI Number 1053362897
Provider Enumeration Date 2006-05-15
Last Updated Date 2011-11-08

Provider Mailing Address Detail

Address 9200 W Wisconsin Ave
City Milwaukee
State Wisconsin (WI)
Post Code 532263522
Phone Number 4148055660
Fax Number 4142599012

Provider's Primary Taxonomy Detail

Speciality Clinical Neuropsychologist
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
1053362897 WI --
39149800 WI --

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FAQs about Jennifer I Koop Olsta

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.

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