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Contact Information

EUGENE F BRAAKSMA, PHD
930 W HISTORIC MITCHELL ST
MILWAUKEE, WI53204-3533
 Phone: 414-383-9526
 Fax: 414-671-6606
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

103TC0700X 62 Psychologist, Clinical
 

Mental Health

101YM0800X
Indicates primary specialty

NPI Profile & details for EUGENE F BRAAKSMA · (Male)

NPI Number 1669656245
Status Active
Credentials PHD
Entity Individual
Enumeration date 12/19/2007
Last updated 03/09/2020 - About 6 years ago
Sole proprietor 1 No
Identifiers
  • WI License # 1236
  • WI License # 1236-057
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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