DR. BETHANY JEAN LO PRESTI


Address: 1155 N Mayfair Rd, Milwaukee, WI 53226-3462
Phone: 4149555990

DR. BETHANY JEAN LO PRESTI (NPI# 1952618217) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1952618217
Entity Type Individual
Full Name DR. BETHANY JEAN LO PRESTI
Credential PH.D.
Practice Address 1155 N Mayfair Rd
Milwaukee
WI 53226-3462
Practice Telephone 4149555990
Practice Fax Number 4149556282
Mailing Telephone 4149555990
Mailing Fax Number 4149556282
Enumeration Date 2010-09-08
Last Update Date 2020-05-28
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103TC0700X Psychologist
Specialization: Clinical
3207 WI Behavioral Health & Social Service Providers
N 103TC0700X Psychologist
Specialization: Clinical
071007968 IL Behavioral Health & Social Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
WI 1952618217 05

Office Location

Street Address 1155 N MAYFAIR RD
City MILWAUKEE
State WI
Zip Code 53226-3462

Providers in the same location

NPI Name Taxonomy Address Enumeration
1801873245 Christina L Wichman Psychiatry & Neurology 1155 N Mayfair Rd, Department of Psychiatry, Milwaukee, WI 53226-3462 2005-12-28
1184128381 Shannon M Friedbacher Psychiatry & Neurology 1155 N Mayfair Rd, Milwaukee, WI 53226-3462 2018-03-21
1003326745 Kevin Bozymski Pharmacist 1155 N Mayfair Rd, Milwaukee, WI 53226-3462 2017-10-09
1770008492 Judith Ann Evenson Nurse Practitioner 1155 N Mayfair Rd, Milwaukee, WI 53226-3462 2017-08-03
1760914378 Miles Bichanich Plastic Surgery 1155 N Mayfair Rd, Ste. T2600- South Entry, Milwaukee, WI 53226-3462 2017-04-02
1669913034 Jennifer Orth Occupational Therapist 1155 N Mayfair Rd, Milwaukee, WI 53226-3462 2017-03-17
1093255549 Legenda Gooding Nurse Practitioner 1155 N Mayfair Rd, Suite 1, Milwaukee, WI 53226-3462 2017-03-02
1932657699 Tera Carman Social Worker 1155 N Mayfair Rd, Department of Psychiatry, Milwaukee, WI 53226-3462 2016-09-12
1689120982 Froedtert & The Medical College of Wisconsin Community Physicians, Inc Durable Medical Equipment & Medical Supplies 1155 N Mayfair Rd, Milwaukee, WI 53226-3462 2016-08-28
1275997645 Amanda Liewen Psychiatry & Neurology 1155 N Mayfair Rd, Milwaukee, WI 53226-3462 2016-04-11
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1912511155 Alexander Harlan Pharmacist 900 N 92nd St, Milwaukee, WI 53226 2020-09-04
1558985762 Armghan Haider Ans Student in an Organized Health Care Education/Training Program 9200 W. Wisconsin Ave. Froedtert Hospital & Medical Col, Milwaukee, WI 53226 2020-06-03
1669001103 Kimberly Tyler Student in an Organized Health Care Education/Training Program 8701 W Watertown Plank Road, Medical College of Wisconsin Dept of Internal Medicine, Wauwatosa, WI 53226 2020-04-06
1972131993 Francesca Meloy Devine Student in an Organized Health Care Education/Training Program Medical Education Office: Children's Corporate Center, 999 N. 92nd St., Suite 730, Milwaukee, WI 53226 2020-03-27
1285275248 Sharitta Alford Technician 12250 West North Avenue, Apartment 142b, Wauwatosa, WI 53226 2019-10-01
1619528023 Linda Marie Sabatinelli Technician 12107 W. Woodland Ave, Wauwatosa, WI 53226 2019-09-26
1598310195 Matthew Laviolette Surgery Medical College of Wisconsin, 8701 Watertown Plank Rd., Surgical Oncology, Milwaukee, WI 53226 2019-08-09
1962056432 Lyndsey Marie Bratberg Physician Assistant F&mcw Clinical Cancer Center 9200 W. Wisconsin Ave., Milwaukee, WI 53226 2019-08-01
1659832855 Benjamin David Seadler Surgery Mcw, Department of Surgery, 8701 Watertown Plank Road, Milwaukee, WI 53226 2019-03-29
1861953267 Michael Dryden Student in an Organized Health Care Education/Training Program 8701 Watertown Plank Rd., Milwaukee, WI 53226 2019-03-27
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Taxonomy Information

Taxonomy Code 103TC0700X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Clinical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1881295863 Emotive Action Counseling Services LLC Psychologist 9235 W Capitol Dr Ste 402, Milwaukee, WI 53222-1567 2020-11-05
1023673563 Robert E Young Psychologist 735 N Water St Ste 712, Milwaukee, WI 53202-4104 2019-05-09
1265900922 Jamal Rashad Cunningham Psychologist 1845 N Farwell Ave Ste 303b, Milwaukee, WI 53202-1715 2018-11-10
1518433978 Caroline Elizabeth Engler Psychologist 2847 S Clement Ave, Milwaukee, WI 53207-2228 2018-10-23
1598231102 Therese Borges Psychologist 3127 S Brisbane Ave, Milwaukee, WI 53207-2605 2018-10-22
1346720760 Kelly Schuder Psychologist 5000 W National Ave # B1113c, Milwaukee, WI 53295-0001 2018-08-15
1255831954 Hether Renee Cook Psychologist 5000 W National Ave Dept 3c, Milwaukee, WI 53295-0001 2018-02-19
1053811331 New Insights LLC Psychologist 1845 N Farwell Ave Ste 104, Milwaukee, WI 53202-1715 2018-02-13
1134575236 Latoya K Williams Psychologist 9235 W Capitol Dr Unit 402, Milwaukee, WI 53222-1567 2016-05-06
1306217492 Paul Florsheim Psychologist 4105 N Farwell Ave, Milwaukee, WI 53211-1754 2015-10-14
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Competitor

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City MILWAUKEE
Zip Code 53226

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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