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Raven M Hubbert
Health Service Psychologist in Milwaukee, Wisconsin
NPI 1336810217

Raven M Hubbert is a Health Service Psychologist based in Milwaukee, WI and is specialized in Health Service. Raven M Hubbert practices in Milwaukee, WI. The NPI Number for Raven M Hubbert is 1336810217 and holds a License No. (Wisconsin).

The current practice location address for Raven M Hubbert is 4741 N 72Nd St, Milwaukee, WI and can be reached out via phone at 414-982-8107. You can also correspond with Raven M Hubbert through the mailing address at 4741 N 72ND ST, MILWAUKEE, WI - 53218-4815 (mailing address contact number: 414-982-8107).

Location: 4741 N 72Nd St, Milwaukee, WI, 53218-4815
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Provider Profile Details
NPI Number
1336810217
Provider Name
Raven M Hubbert
Credential
Provider Entity Type
Individual
Gender
Female
Address
4741 N 72Nd St, Milwaukee, WI, 53218-4815
Phone Number
414-982-8107
Fax Number
Provider Enumeration Date
09/21/2021
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
83441842 05 WI
institution
Provider Business Practice Location Address Details
Address
4741 N 72Nd St
City
State
Zip
53218-4815
Phone Number
414-982-8107
Fax Number
person
Provider Business Mailing Address Details
Address
4741 N 72Nd St
City
State
Zip
53218-4815
Phone Number
414-982-8107
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Psychologist
Speciality
Health Service
Taxonomy
License No.
()
Definition
A psychologist, certified/licensed at the independent practice level in his/her state, who is duly trained and experienced in the delivery of direct, preventative, assessment, and therapeutic intervention services to individuals whose growth, adjustment, or functioning is actually impaired or is demonstrably at high risk of impairment (1974).
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