Russell Wieston Brethauer, PSYD.

NPI #1023062528 in Elm Grove, Wisconsin

Provider Information

NPI Number
1023062528
Entity Type
Individual
Name
Russell Wieston Brethauer, PSYD.
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Psychologist - Clinical
Credential
PSYD.
Enumeration Date
May 19, 2006
Last Updated
Oct 18, 2007

Practice Location

Address
700 PILGRIM PKWY
Address 2
SUITE 201
ZIP Code
53122-2063
Phone
(262) 785-5557

Specialties & Taxonomy Codes

Specialty
Psychologist - ClinicalClinical
Marriage & Family Therapist

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