Healthcare Provider Details

I. General information

NPI: 1306861257
Provider Name (Legal Business Name): PATRICIA BUJARD PH.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/13/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2600 N MAYFAIR RD SUITE #305
WAUWATOSA WI
53226-1309
US

IV. Provider business mailing address

2600 N MAYFAIR RD SUITE #305
WAUWATOSA WI
53226-1309
US

V. Phone/Fax

Practice location:
  • Phone: 414-257-0233
  • Fax: 414-257-3588
Mailing address:
  • Phone: 414-257-0233
  • Fax: 414-257-3588

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number0536
License Number StateWI
# 2
Primary TaxonomyN
Taxonomy Code103TH0100X
TaxonomyHealth Service Psychologist
License Number0536
License Number StateWI
# 3
Primary TaxonomyY
Taxonomy Code103TF0000X
TaxonomyFamily Psychologist
License Number0536
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: