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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

RUSSELL WIESTON BRETHAUER, PSYD.

Active Sole Proprietor

RUSSELL WIESTON BRETHAUER, PSYD. is a Clinical Psychologist healthcare provider located in ELM GROVE, Wisconsin. NPI 1023062528 is currently active in the NPPES registry. Verify at CMS.

Clinical Psychologist · ELM GROVE, WI

Registration Details

NPI Number
1023062528
Provider Type
Individual
Gender
Male
NPI Issued
May 19, 2006 (20.05447194243 yrs)
Last Updated
Oct 18, 2007
Licenses
983 (WI)
185 (WI)
Sole Proprietor
Yes

Practice Information

Address
700 PILGRIM PKWY
SUITE 201
ELM GROVE, WI, 531222063
Browse WI providers · Browse ZIP 53122
Phone
2627855557
Fax
2627855586
Primary Specialty
Clinical Psychologist
103TC0700X
Additional Specialty
Marriage & Family Therapist

Other Clinical Psychologist Providers in ELM GROVE, WI

Name Credential NPI
DR. ANN CONNOR LAWRENCE PH.D. 1669489167
DR. LAURI CHRISTINE GEBHARD PHD 1538276720
DONALD NORMAN ROTH PSY. D., APNP 1336224989
DR. GARY R GREGG PSY.D. 1952463002
DR. SONYA S TRUEBLOOD PSYD 1447456603
DR. NICOLE ALEXANDRA EULL PSYD 1902098205
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.