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STILLWATER COUNSELING CENTER NPI 1053474510


NPI Information

NPI: 1053474510
Provider Name: STILLWATER COUNSELING CENTER
Classification: Psychologist - 103TP2701X
Entity Type: Organization

Specialization: Group Psychotherapy

Address:
933 N MAYFAIR RD
SUITE 303
WAUWATOSA, WI
ZIP 53226
Phone: (414) 456-9929
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STILLWATER COUNSELING CENTER is a group psychotherapy psychologist in Wauwatosa, WI. The provider is a psychologist who specializes in group psychology and group psychotherapy that is an evidenced-based specialty that prepares group leaders to identify and capitalize on developmental and healing possibilities embedded in the interpersonal/intrapersonal functioning of individual group members as well as collectively for the group. Emphasis is placed on the use of group dynamics to assist and treat individual group members. The specialty is applicable to all age groups, children, adolescents, adults and older adults, for a wide variety of conditions and concerns, and in numerous and diverse settings. STILLWATER COUNSELING CENTER NPI is 1053474510. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

933 N MAYFAIR RD
SUITE 303
WAUWATOSA, WI
ZIP 53226-432
Phone: (414) 456-9929
Fax: (414) 456-9994

The provider's authorized official is Helen M Ponec .
The authorized official title is Co Director Psychotherapist and has the following contact phone number (414) 456-9929.

The enumeration date for this NPI number is 12/18/2006 and was last updated on 12/5/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1103TP2701XPsychologistGroup Psychotherapy1881WISCONSINYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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