MARQUETTE UNIVERSITY NPI 1306598446

NPI Information

  • NPI: 1306598446
  • Provider Name: MARQUETTE UNIVERSITY
  • Classification: Psychologist - 103TC0700X
  • Specialization: Clinical
  • Entity Type: Organization
  • CLIA Number: 52D2152949
  • Address: 604 N 16TH ST
    MILWAUKEE, WI
    ZIP 53233
  • Phone: (414) 288-3487

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NPI Details

MARQUETTE UNIVERSITY is a clinical psychologist in Milwaukee, WI. The provider is a psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems. MARQUETTE UNIVERSITY NPI is 1306598446. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

604 N 16TH ST
MILWAUKEE, WI
ZIP 53233-117
Phone: (414) 288-3487

The provider's authorized official is Emily Mazzulla .
The authorized official title is Director and has the following contact phone number (414) 288-8464.

The CLIA number assigned to this NPI record is 52D2152949 - other - research laboratory with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 1/20/2022 and was last updated on 1/26/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1103TC0700XPsychologistClinicalYes

What is NPI?

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This page was last updated on: 11/21/2025

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