Psychiatric & Psychotherapy Clinic L I Newman Md Sc Gen Ptr in Kenosha - Addiction (substance Use Disorder)
Psychiatric & Psychotherapy Clinic L I Newman Md Sc Gen Ptr - NPI 1932312212
Psychiatric & Psychotherapy Clinic L I Newman Md Sc Gen Ptr is a Addiction (substance Use Disorder) in Kenosha, Wisconsin. Psychiatric & Psychotherapy Clinic L I Newman Md Sc Gen Ptr practices all healthcare services and medical treatments related to Addiction (substance Use Disorder). The NPI Number for Psychiatric & Psychotherapy Clinic L I Newman Md Sc Gen Ptr is 1932312212. The last update date is 2011-08-11.
Psychiatric & Psychotherapy Clinic L I Newman Md Sc Gen Ptr's current location address is 3601 30th Ave Ste 102, Kenosha, Wisconsin. You can contact this provider via phone number 2626540487 and fax number 2626542434. The mailing address for Psychiatric & Psychotherapy Clinic L I Newman Md Sc Gen Ptr is 3601 30th Ave Ste 102, Kenosha, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Psychiatric & Psychotherapy Clinic L I Newman Md Sc Gen Ptr |
|---|---|
| Address | 3601 30th Ave Ste 102, Kenosha, Wisconsin |
| Phone Number | 2626540487 |
| Fax Number | 2626542434 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Defazio M Paul |
| Telephone Number | 2626540487 |
NPI Number Detail
| NPI Number | 1932312212 |
|---|---|
| Provider Enumeration Date | 2007-05-07 |
| Last Updated Date | 2011-08-11 |
Provider Mailing Address Detail
| Address | 3601 30th Ave Ste 102 |
|---|---|
| City | Kenosha |
| State | Wisconsin (WI) |
| Post Code | 531441642 |
| Phone Number | 2626540487 |
| Fax Number | 2626542434 |
Provider's Primary Taxonomy Detail
| Speciality | Addiction (substance Use Disorder) |
|---|---|
| Taxonomy | 101Ya0400X |
|
Definition: A counselor who helps people with alcohol, drug, gambling, internet, and other types of addictions. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 42124700 | WI | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Psychiatric & Psychotherapy Clinic L I Newman Md Sc Gen Ptr?
The Psychiatric & Psychotherapy Clinic L I Newman Md Sc Gen Ptr has been issued the NPI (National Provider Identifier) 1932312212 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Where is the Psychiatric & Psychotherapy Clinic L I Newman Md Sc Gen Ptr located?
The Psychiatric & Psychotherapy Clinic L I Newman Md Sc Gen Ptr is located at 3601 30Th Ave Ste 102, Kenosha, WI 531441642.
What is Psychiatric & Psychotherapy Clinic L I Newman Md Sc Gen Ptr's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Psychiatric & Psychotherapy Clinic L I Newman Md Sc Gen Ptr is Addiction (substance Use Disorder), and the taxonomy code that classifies this field of practice is 101Ya0400X.
On what date did the Psychiatric & Psychotherapy Clinic L I Newman Md Sc Gen Ptr receive the assignment of its 1932312212 from the Centers for Medicare & Medicaid Services?
The Psychiatric & Psychotherapy Clinic L I Newman Md Sc Gen Ptr was issued its 1932312212 by the Centers for Medicare & Medicaid Services on 2007-05-07.
As of what date were the Psychiatric & Psychotherapy Clinic L I Newman Md Sc Gen Ptr's details last updated?
The information pertaining to the Psychiatric & Psychotherapy Clinic L I Newman Md Sc Gen Ptr, including its address, specialty, and other details, was most recently updated on 2011-08-11.
NPI Number: 1356344279
Address: Mount St. Mary's Hospital Laboratory, Lewiston, NY