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Contact Information

JEFFREY L POLCZINSKI PSYD LLC
5555 N PORT WASHINGTON RD
SUITE 304
GLENDALE, WI53217
 Phone: 414-967-9550
 Fax: 414-967-9550
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychologist

103T00000X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for JEFFREY L POLCZINSKI PSYD LLC · (Female)

NPI Number 1124291976
Status Active
Credentials
Entity Individual
Enumeration date 04/11/2008
Last updated 10/19/2011 - About 15 years ago
Sole proprietor 1 Not specified
Identifiers
  • WI License # 1641057
  • WI Medicaid 39131300
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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