PSYCHIATRIC & PSYCHOTHERAPY CLINIC L I NEWMAN MD SC GEN PTR NPI 1932312212

NPI Information

PSYCHIATRIC & PSYCHOTHERAPY CLINIC L I NEWMAN MD SC GEN PTR is an addiction (substance use disorder) counselor in Kenosha, WI. PSYCHIATRIC & PSYCHOTHERAPY CLINIC L I NEWMAN MD SC GEN PTR NPI is 1932312212. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

3601 30TH AVE STE 102
KENOSHA, WI
ZIP 53144-642
Phone: (262) 654-0487
Fax: (262) 654-2434

The provider's authorized official is Paul M Defazio .
The authorized official title is Owner and has the following contact phone number (262) 654-0487.

The enumeration date for this NPI number is 5/7/2007 and was last updated on 8/11/2011.

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:

Other Identifiers

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