Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Core Spring Diagnostics W.i. SC

Organization Clinical Psychologist · NPI 1720906878

Core Spring Diagnostics W.i. SC provides Clinical Psychologist services in Wauwatosa, Wisconsin. Registered with an NPI since 2026.

In the registry since
2026

Practice location Address checks out

10625 W North Ave Ste LL1
Wauwatosa, WI 53226-2330
Phone: (414) 387-2100
Fax: (414) 387-2102
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X

Record details

NPI number1720906878
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jacob Dov — Officer · (516) 592-3079
NPI enumeratedJuly 7, 2026
Last updated in NPPESJuly 7, 2026
Certification dateJuly 7, 2026
Mailing address10625 W North Ave Ste Ll1, Wauwatosa, WI 53226-2330

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