Tosa Psychological Services LLC

NPI #1164256038 in Wauwatosa, Wisconsin

Provider Information

NPI Number: 1164256038
Entity Type: Organization
Organization Name: Tosa Psychological Services LLC
Primary Specialty: Clinic/Center - Mental Health (Including Community Mental Health Center)
Enumeration Date: Aug 31, 2024
Last Updated: Aug 31, 2024

Practice Location

Address: 10425 W NORTH AVE STE 350
City: Wauwatosa
State: Wisconsin
ZIP Code: 53226-2416
Phone: (414) 522-7899

Authorized Official

Name: DR. DOMENICK TIRABASSI IV, PSYD
Title: OWNER
Phone: (262) 818-9888

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Mental Health (Including Community Mental Health Center) — Mental Health (Including Community Mental Health Center)	261QM0801X	Primary

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