Jeffrey L Polczinski Psyd LLC

NPI #1124291976 in Glendale, Wisconsin

Provider Information

NPI Number: 1124291976
Entity Type: Organization
Organization Name: Jeffrey L Polczinski Psyd LLC
Primary Specialty: Psychologist
Enumeration Date: Apr 11, 2008
Last Updated: Oct 19, 2011

Practice Location

Address: 5555 N PORT WASHINGTON RD
Address 2: SUITE 304
City: Glendale
State: Wisconsin
ZIP Code: 53217
Phone: (414) 967-9550

Authorized Official

Name: JEFFREY L POLCZINSKI, PSYD
Title: PSYCHOLOGIST
Phone: (414) 967-9550

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist	103T00000X	Primary

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