Psychologist
LIGHTHOUSE CLINIC
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1912216219 · enumerated 2010-10-04 · record updated 2026-06-01. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Authorized official: PAULA TUDOROF, Administrator · (323) 447-9507
Addresses and phones
- Practice location 2524 E WEBSTER PL STE 203, MILWAUKEE, WI, 53211-4257 (414) 964-9200 Fax (414) 964-4816 Google Maps Apple Maps OpenStreetMap
- Mailing address 2524 E WEBSTER PL STE 203, MILWAUKEE, WI, 53211-4257 (414) 964-9200 Fax (414) 964-4816 Google Maps Apple Maps OpenStreetMap
Specialties
- Social Worker, Clinical 1041C0700X
- Clinical Neuropsychologist 103G00000X
- Dietitian, Registered 133V00000X
- Psychiatry & Neurology, Psychiatry 2084P0800X
- Psychiatry & Neurology, Child & Adolescent Psychiatry 2084P0804X
- Counselor, Mental Health 101YM0800X
- Counselor, Professional 101YP2500X
- Psychologist 103T00000X · Primary
In this directory
Locations and evidence
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Practice location
MILWAUKEE, WI, 532114257
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.