Healthcare Provider Details

I. General information

NPI: 1699764167
Provider Name (Legal Business Name): THOMAS A. GARLAND IV PSY.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/18/2005
Last Update Date: 05/11/2026
Certification Date: 05/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

633 W WISCONSIN AVE SUITE #1810
MILWAUKEE WI
53203-1918
US

IV. Provider business mailing address

2413 S WENTWORTH AVE
MILWAUKEE WI
53207-1932
US

V. Phone/Fax

Practice location:
  • Phone: 414-271-3322
  • Fax: 414-271-2335
Mailing address:
  • Phone: 414-483-0558
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number2722-125
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: