Patricia Lee Bromley, PH.D.
Individual provider Active NPI Psychologist · Whitewater, WI
NPI 1194790063 · NPPES record last updated Dec 30, 2010
Key facts
- NPI
- 1194790063
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychologist 103T00000X
- License
- 1885-057 (WI)
- Practice address
- 162 W Main St Ste G
Whitewater, WI 53190-1995 - Phone
- (262) 495-8531
- Fax
- (262) 495-8532
- NPI assigned
- Feb 22, 2006
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1885-057 | WI | MD | Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| WKM Psychology Clinics, Inc. | Psychologist | Past |
Accepting new patients |
| Mindful Psychotherapy Services LLC | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counseling Psychologist | 103TC1900X | 1885-057 | WI | |
| Psychologist | 103T00000X | 1885-057 | WI | Yes |
Addresses
Primary practice location
162 W Main St Ste G
Whitewater, WI 53190-1995
Mailing address
W5838 Greening Rd
Whitewater, WI 53190-4026
Phone (262) 495-8531
Other providers in Whitewater, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 30, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.