| Doctor Name: | DR. JESSICA CATHERINE PHELPS |
| NPI Number: | 1467531848 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MD |
| License Number: | 5164120 |
| Business Practice Address: | 9000 W Wisconsin Ave Pediatric Psychiatry Milwaukee, WI - 532264874 |
| Business Phone Number: | 4142662932 |
| Business Fax Number: | 4142663735 |
| Mailing Address: | 9000 W Wisconsin Ave, Pediatric Psychiatry MILWAUKEE |
| State: | WI |
| Postal Code: | 532264874 |
| Phone Number: | 4142662932 |
| Fax Number: | 4142663735 |
| NPI Enumeration Date: | 11/04/2006 |
| NPI Last Update Date: | 04/09/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 5164120 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | WI |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |