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Contact Information

ERIC J BRUSTER, PSY.D.
S74W16775 JANESVILLE RD
MUSKEGO, WI53150
 Phone: 414-773-4312
 Fax: 414-422-2188
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychologist

103T00000X 62 Psychologist, Clinical
 

Clinical

103TC0700X 62 Psychologist, Clinical
 

Health Service

103TH0100X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for ERIC J BRUSTER · (Male)

NPI Number 1720128523
Status Active
Credentials PSY.D. (Doctor of Psychology)
Entity Individual
Enumeration date 02/08/2007
Last updated 08/26/2020 - About 6 years ago
Sole proprietor 1 No
Identifiers
  • IA License # 00280
  • IA License # 00716
  • WI License # 3597
  • IA Medicaid 420716337
  • WI Medicaid 100083826
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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