Search › Wisconsin › 103TC0700X
Samantha Klockow, PSYD, LP
NPI 1457860884 · on the registry since 2017
Practice
- Address
- 4131 W Loomis Rd Apt 120
Greenfield, WI 53221 - Phone
- (414) 424-2445
- Fax
- (414) 424-2446
- Organisation at this address
- Advanced Retina S.C.
Michael N Katzoff Md Llc
Advanced Pain Management
Advanced Pain Management Sc
Advanced Pain Management ScInferred from a shared address, not stated in the registry. - Clinicians at this address
- 76
Registry record
- Primary taxonomy
- 103TC0700X
103TC0700X
- Also registered as
- 103TC0700X
- Licence states on file
- MN, WI
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2025-07-22
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Wisconsin