Providence Psychiatric Services S C
NPI #1376272500 in Brookfield, Wisconsin
Provider Information
- NPI Number
- 1376272500
- Entity Type
- Organization
- Organization Name
- Providence Psychiatric Services S C
- Primary Specialty
- Psychiatry & Neurology - Psychiatry
- Enumeration Date
- Jun 4, 2022
- Last Updated
- Jun 4, 2022
Practice Location
- Address
- 333 BISHOPS WAY STE 102
- City
- Brookfield
- State
- Wisconsin
- ZIP Code
- 53005-6209
- Phone
- (414) 239-3172
Authorized Official
- Name
- MARY L PINTARRO, APNP
- Title
- PRESIDENT
- Phone
- (414) 239-3172
Specialties & Taxonomy Codes
| Specialty |
|---|
| Psychiatry & Neurology - Psychiatry — Psychiatry |
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