AMANDA GRACE PRUSOW NPI 1730828088

NPI Information

NPI: 1730828088
Provider Name: AMANDA GRACE PRUSOW
Classification: Psychologist - 103TB0200X
Entity Type: Individual

Specialization: Cognitive & Behavioral

Address:
200 N PATRICK BLVD UNIT 250
BROOKFIELD, WI
ZIP 53045
Phone: (888) 754-0398
Get Directions

Amanda Grace Prusow is a cognitive and behavioral psychologist in Brookfield, WI. The provider is a psychologist who reflects an experimental-clinical approach distinguished by use of principles of human learning and development and theories of cognitive processing to promote meaningful change in maladaptive human behavior and thinking. Amanda Grace Prusow NPI is 1730828088. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

200 N PATRICK BLVD UNIT 250
BROOKFIELD, WI
ZIP 53045-883
Phone: (888) 754-0398

The enumeration date for this NPI number is 6/2/2022 and was last updated on 6/2/2022.

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
1	103TB0200X	Psychologist	Cognitive & Behavioral			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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