Provider Demographics
NPI:1407050040
Name:ASSOCIATED THERAPIES
Entity Type:Organization
Organization Name:ASSOCIATED THERAPIES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSED PSYCHOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:JULAINE
Authorized Official - Middle Name:CAROL
Authorized Official - Last Name:SIEWERT
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:414-352-3336
Mailing Address - Street 1:8989 N PORT WASHINGTON RD
Mailing Address - Street 2:SUITE 220
Mailing Address - City:MILWAUKEE
Mailing Address - State:WI
Mailing Address - Zip Code:53217-1671
Mailing Address - Country:US
Mailing Address - Phone:414-352-3336
Mailing Address - Fax:414-352-3928
Practice Address - Street 1:8989 N PORT WASHINGTON RD
Practice Address - Street 2:SUITE 220
Practice Address - City:MILWAUKEE
Practice Address - State:WI
Practice Address - Zip Code:53217-1671
Practice Address - Country:US
Practice Address - Phone:414-352-3336
Practice Address - Fax:414-352-3928
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-14
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI1232103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Single Specialty