Leesa Marie Wiedholz-Abbott in Racine - Clinical

Leesa Marie Wiedholz-Abbott - NPI 1952482267

Leesa Marie Wiedholz-Abbott is a Clinical in Racine, Wisconsin. Leesa Marie Wiedholz-Abbott practices all healthcare services and medical treatments related to Clinical. The NPI Number for Leesa Marie Wiedholz-Abbott is 1952482267. The last update date is 2007-07-08.

Leesa Marie Wiedholz-Abbott's current location address is 815 Northdale Dr, Racine, Wisconsin. You can contact this provider via phone number 2627524205. The mailing address for Leesa Marie Wiedholz-Abbott is 815 Northdale Dr, Racine, Wisconsin. To know further, please read the information below!

Provider Profile Detail

Provider Name Leesa Marie Wiedholz-Abbott
Address 815 Northdale Dr, Racine, Wisconsin
Phone Number 2627524205
Fax Number
Sole Proprietor N
Credentials PSY.D.

NPI Number Detail

NPI Number 1952482267
Provider Enumeration Date 2006-10-17
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 815 Northdale Dr
City Racine
State Wisconsin (WI)
Post Code 534022759
Phone Number 2627524205
Fax Number

Provider's Primary Taxonomy Detail

Speciality Clinical
Taxonomy 103Tc0700X
Licence No 2352-057
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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FAQs about Leesa Marie Wiedholz-Abbott

What is the Leesa Marie Wiedholz-Abbott's 1952482267?

The Leesa Marie Wiedholz-Abbott's NPI (National Provider Identifier) Number is 1952482267. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Where is the Leesa Marie Wiedholz-Abbott located?

The Leesa Marie Wiedholz-Abbott is located at 815 Northdale Dr, Racine, WI 534022759.

What is Leesa Marie Wiedholz-Abbott's area of expertise and its corresponding taxonomy classification?

The Leesa Marie Wiedholz-Abbott's field of specialization is Clinical, and it falls under the taxonomy code 103Tc0700X, which categorizes healthcare providers based on their areas of practice.

When did Leesa Marie Wiedholz-Abbott receive its 1952482267 assignment?

The Leesa Marie Wiedholz-Abbott was assigned its 1952482267 on 2006-10-17, which is the date when this unique identifier was issued to the organization.

As of what date was the information pertaining to Leesa Marie Wiedholz-Abbott, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Leesa Marie Wiedholz-Abbott, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-08.

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