Provider Demographics
NPI:1467248112
Name:FRITSCH, EMMA
Entity type:Individual
Prefix:
First Name:EMMA
Middle Name:
Last Name:FRITSCH
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:21400 W WOODLAND DR
Mailing Address - Street 2:
Mailing Address - City:NEW BERLIN
Mailing Address - State:WI
Mailing Address - Zip Code:53146-2946
Mailing Address - Country:US
Mailing Address - Phone:414-477-0173
Mailing Address - Fax:
Practice Address - Street 1:N17W24222 RIVERWOOD DR STE 170
Practice Address - Street 2:
Practice Address - City:WAUKESHA
Practice Address - State:WI
Practice Address - Zip Code:53188-1134
Practice Address - Country:US
Practice Address - Phone:262-739-0961
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-04-18
Last Update Date:2025-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist