Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 103TB0200X | Cognitive & Behavioral Psychologist | 2411-057 | WI |
N | 103TH0100X | Health Service | ||
N | 103TR0400X | Rehabilitation Psychologist |
NPI | 1679798763 |
---|---|
Provider Name | Kathryn E Zao |
First Address | Waukesha, WI 53189-9387 |
Second Address | Milwaukee, WI 53226-3522 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/04/2007 |
Last Update Date | 08/07/2007 |