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Contact Information

JO M WEIS, PHD
1155 NORTH MAYFAIR ROAD
BEHAVIORAL HEALTH CLINIC @ TOSA
MILWAUKEE, WI53226
 Phone: 414-955-8900
 Fax: 414-955-6285
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Addiction (Substance Use Disorder)

103TA0400X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for JO M WEIS · (Female)

NPI # 1841242294
Status Active
Credentials PHD
Entity Individual
Enumeration date 05/16/2006
Last updated 09/26/2014 - About 12 years ago
Sole proprietor 1 No
Identifiers
  • WI License # 2245
  • WI Medicaid 1841242294
  • Other 004006261J HUMANA
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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