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Contact Information

MICHAEL DIMARCO JR, PSY.D.
1155 N MAYFAIR RD
THIRD FLOOR
MILWAUKEE, WI53226-3462
 Phone: 414-955-8900
 Fax: 414-955-6285
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

103TC0700X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for MICHAEL DIMARCO JR · (Male)

NPI Number 1013075720
Status Active
Credentials PSY.D. (Doctor of Psychology)
Entity Individual
Enumeration date 12/05/2006
Last updated 03/28/2012 - About 7 years ago
Sole proprietor 1 No
Identifiers
  • WI License # 2311
  • WI Medicaid 1013075720
  • WI Medicaid 39137100
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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