Innovative Psychology Services, Llc in Milwaukee - Clinical
Innovative Psychology Services, Llc - NPI 1063609584
Innovative Psychology Services, Llc is a Clinical in Milwaukee, Wisconsin. Innovative Psychology Services, Llc practices all healthcare services and medical treatments related to Clinical. The NPI Number for Innovative Psychology Services, Llc is 1063609584. The last update date is 2007-09-28.
Innovative Psychology Services, Llc's current location address is 7635 W Oklahoma Ave, Milwaukee, Wisconsin. You can contact this provider via phone number 4147323172 and fax number 4143864632. The mailing address for Innovative Psychology Services, Llc is 7635 W Oklahoma Ave, Milwaukee, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Innovative Psychology Services, Llc |
|---|---|
| Address | 7635 W Oklahoma Ave, Milwaukee, Wisconsin |
| Phone Number | 4147323172 |
| Fax Number | 4143864632 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PSYCHOLOGI |
|---|---|
| Authorized Official Name | Reed Brenda |
| Credentials | PSY.D. |
| Telephone Number | 4147323172 |
NPI Number Detail
| NPI Number | 1063609584 |
|---|---|
| Provider Enumeration Date | 2007-09-28 |
| Last Updated Date | 2007-09-28 |
Provider Mailing Address Detail
| Address | 7635 W Oklahoma Ave |
|---|---|
| City | Milwaukee |
| State | Wisconsin (WI) |
| Post Code | 532193600 |
| Phone Number | 4147323172 |
| Fax Number | 4143864632 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | 2456-057 |
|
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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What is the unique 10-digit identifier code issued to Innovative Psychology Services, Llc by the Centers for Medicare & Medicaid Services?
The Innovative Psychology Services, Llc has been assigned the NPI (National Provider Identifier) 1063609584 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Where is the Innovative Psychology Services, Llc located?
The Innovative Psychology Services, Llc is located at 7635 W Oklahoma Ave, Milwaukee, WI 532193600.
What is Innovative Psychology Services, Llc's specialized field of practice, and what is the corresponding taxonomy classification code?
The Innovative Psychology Services, Llc's area of specialization is Clinical, and the corresponding taxonomy code that categorizes this field of practice is 103Tc0700X.
On what date did the Innovative Psychology Services, Llc receive the assignment of its 1063609584 from the Centers for Medicare & Medicaid Services?
The Innovative Psychology Services, Llc was issued its 1063609584 by the Centers for Medicare & Medicaid Services on 2007-09-28.
When was the information related to Innovative Psychology Services, Llc most recently updated or refreshed?
The details pertaining to the Innovative Psychology Services, Llc, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-09-28.
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