Matthew David Jandrisevits in Milwaukee - Psychologist
Matthew David Jandrisevits - NPI 1740477751
Matthew David Jandrisevits is a Psychologist in Milwaukee, Wisconsin. Matthew David Jandrisevits practices all healthcare services and medical treatments related to Psychologist. The NPI Number for Matthew David Jandrisevits is 1740477751. The last update date is 2021-05-07.
Matthew David Jandrisevits's current location address is 9000 W Wisconsin Ave, Milwaukee, Wisconsin. You can contact this provider via phone number 4142662932 and fax number 4142663735. The mailing address for Matthew David Jandrisevits is 9000 W Wisconsin Ave, Milwaukee, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Matthew David Jandrisevits |
|---|---|
| Address | 9000 W Wisconsin Ave, Milwaukee, Wisconsin |
| Phone Number | 4142662932 |
| Fax Number | 4142663735 |
| Sole Proprietor | N |
| Credentials | PH.D. |
NPI Number Detail
| NPI Number | 1740477751 |
|---|---|
| Provider Enumeration Date | 2007-10-03 |
| Last Updated Date | 2021-05-07 |
Provider Mailing Address Detail
| Address | 9000 W Wisconsin Ave |
|---|---|
| City | Milwaukee |
| State | Wisconsin (WI) |
| Post Code | 532264874 |
| Phone Number | 4142662932 |
| Fax Number | 4142663735 |
Provider's Primary Taxonomy Detail
| Speciality | Psychologist |
|---|---|
| Taxonomy | 103T00000X |
| Licence No | 2678057 |
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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 |
|---|---|---|---|
| 1740477751 | WI | -- |
Post Comment/ Review Below
What is the Matthew David Jandrisevits's 1740477751?
The Matthew David Jandrisevits's NPI (National Provider Identifier) Number is 1740477751. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Matthew David Jandrisevits?
The Matthew David Jandrisevits is physically situated at 9000 W Wisconsin Ave, in the city of Milwaukee, state of WI, with the postal code 532264874.
What is the Matthew David Jandrisevits's area of specialization and corresponding taxonomy classification?
The Matthew David Jandrisevits's specialty field is Psychologist, and it falls under the taxonomy code 103T00000X, which categorizes healthcare providers based on their specialties.
On what date did the Matthew David Jandrisevits receive its 1740477751 assignment from the Centers for Medicare & Medicaid Services?
The Matthew David Jandrisevits was assigned its 1740477751 by the Centers for Medicare & Medicaid Services on 2007-10-03.
When was the Matthew David Jandrisevits's information last updated?
The Matthew David Jandrisevits's information was last updated on 2021-05-07.
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