Sun Prairie Psychological Services in Sun Prairie - Clinical
Sun Prairie Psychological Services - NPI 1306991682
Sun Prairie Psychological Services is a Clinical in Sun Prairie, Wisconsin. Sun Prairie Psychological Services practices all healthcare services and medical treatments related to Clinical. The NPI Number for Sun Prairie Psychological Services is 1306991682. The last update date is 2020-08-22.
Sun Prairie Psychological Services's current location address is 705 W Main St, Sun Prairie, Wisconsin. You can contact this provider via phone number 6088256663 and fax number 6088256946. The mailing address for Sun Prairie Psychological Services is 705 W Main St, Sun Prairie, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Sun Prairie Psychological Services |
|---|---|
| Address | 705 W Main St, Sun Prairie, Wisconsin |
| Phone Number | 6088256663 |
| Fax Number | 6088256946 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PARTNER |
|---|---|
| Authorized Official Name | Stava James Lawrence |
| Credentials | PH.D. |
| Telephone Number | 6088256663 |
NPI Number Detail
| NPI Number | 1306991682 |
|---|---|
| Provider Enumeration Date | 2007-01-24 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 705 W Main St |
|---|---|
| City | Sun Prairie |
| State | Wisconsin (WI) |
| Post Code | 535902849 |
| Phone Number | 6088256663 |
| Fax Number | 6088256946 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | 1891 |
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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 |
|---|---|---|---|
| 42168100 | WI | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Sun Prairie Psychological Services by the Centers for Medicare & Medicaid Services?
The Sun Prairie Psychological Services has been issued the NPI (National Provider Identifier) 1306991682, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Sun Prairie Psychological Services?
The Sun Prairie Psychological Services is situated at 705 W Main St, in the city of Sun Prairie, state of WI, with the zip code 535902849.
What is Sun Prairie Psychological Services's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Sun Prairie Psychological Services is Clinical, and the corresponding taxonomy classification code for this specialized field is 103Tc0700X.
On what date did the Centers for Medicare & Medicaid Services assign the 1306991682 to Sun Prairie Psychological Services?
The Centers for Medicare & Medicaid Services assigned the 1306991682 to Sun Prairie Psychological Services on 2007-01-24.
When was the Sun Prairie Psychological Services's information last updated?
The Sun Prairie Psychological Services's information was last updated on 2020-08-22.