IndividualActive
James Crisco, PH.D.
NPI 1013172600 · Clinical Child & Adolescent Psychologist · Wauwatosa, WI
Provider details
- NPI number
- 1013172600
- Entity type
- Individual
- Primary specialty
- Clinical Child & Adolescent PsychologistBehavioral Health & Social Service Providers
- Credential
- PH.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 613-057 (WI)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
3636 N 124th St
Suite 200
Wauwatosa, WI 53222-2125
Phone: (414) 476-9755
Fax: (414) 476-3413
Approximate (ZIP-level) locationGet directions
Mailing address
3636 N 124th St
Wauwatosa, WI 53222-2125
Registry dates
- Enumerated
- 2008-07-23
- Last updated
- 2009-04-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.