Suburban Counseling Services in Hartland - Clinical
Suburban Counseling Services - NPI 1760685820
Suburban Counseling Services is a Clinical in Hartland, Wisconsin. Suburban Counseling Services practices all healthcare services and medical treatments related to Clinical. The NPI Number for Suburban Counseling Services is 1760685820. The last update date is 2010-02-24.
Suburban Counseling Services's current location address is 1208 Hwy 83, Hartland, Wisconsin. You can contact this provider via phone number 4145509350 and fax number 2623697752. The mailing address for Suburban Counseling Services is 1208 Hwy 83, Hartland, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Suburban Counseling Services |
|---|---|
| Address | 1208 Hwy 83, Hartland, Wisconsin |
| Phone Number | 4145509350 |
| Fax Number | 2623697752 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Campbell Marie Laura |
| Credentials | PHD |
| Telephone Number | 4145509350 |
NPI Number Detail
| NPI Number | 1760685820 |
|---|---|
| Provider Enumeration Date | 2007-06-07 |
| Last Updated Date | 2010-02-24 |
Provider Mailing Address Detail
| Address | 1208 Hwy 83 |
|---|---|
| City | Hartland |
| State | Wisconsin (WI) |
| Post Code | 530298313 |
| Phone Number | 4145509350 |
| Fax Number | 2623697752 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | 2243-057 |
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Definition: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1889 | WI | STATE CERTIFICATION #: | |
| 2607 | WI | MEDICARE GROUP ID#: |
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What is the Suburban Counseling Services's unique identification number?
The Suburban Counseling Services has been assigned the NPI (National Provider Identifier) Number 1760685820 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Can you provide the Suburban Counseling Services's physical address?
The Suburban Counseling Services is physically located at 1208 Hwy 83, in the city of Hartland, WI, with the postal code 530298313.
What is Suburban Counseling Services's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Suburban Counseling Services is Clinical, and the taxonomy classification code that categorizes this area of expertise is 103Tc0700X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1760685820 to Suburban Counseling Services?
The Centers for Medicare & Medicaid Services originally issued the 1760685820 to Suburban Counseling Services on 2007-06-07.
When was the information regarding Suburban Counseling Services most recently updated?
The details pertaining to the Suburban Counseling Services, including its address, specialty, and other relevant information, were last refreshed on 2010-02-24.
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