Massey, Leora

Massey, Leora is an individual health care provider with primary practice located at 1155 N Mayfair Rd , Wauwatosa WI 53226-3462. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Psychiatry, Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry. Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry is her primary health care specialty. Massey, Leora can be contacted via phone (414) 955-5990.

Contact Information

Primary practice address
1155 N Mayfair Rd Wauwatosa WI 53226-3462
Phone: (414) 955-5990
Fax: (414) 955-6282
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 73404-20 Wisconsin
Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry 2084P0804X 73404-20 Wisconsin

Profile Details

NPI number 1700316569
LBN Legal business name Massey, Leora
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 14th, 2017
Last updated Apr 8th, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1700316569 NPPES
Wisconsin MEDICAID 1700316569

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