CORAM CONSULTING LLC NPI 1427596121

NPI Information

  • NPI: 1427596121
  • Provider Name: CORAM CONSULTING LLC
  • Classification: Psychologist - 103TC0700X
  • Specialization: Clinical
  • Entity Type: Organization
  • Address: 431 S MAIN ST STE 6
    RICE LAKE, WI
    ZIP 54868
  • Phone: (715) 931-0317

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NPI Details

CORAM CONSULTING LLC is a clinical psychologist in Rice Lake, WI. The provider is 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 breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems. CORAM CONSULTING LLC NPI is 1427596121. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

431 S MAIN ST STE 6
RICE LAKE, WI
ZIP 54868-241
Phone: (715) 931-0317

The provider's authorized official is Amber G Ebert .
The authorized official title is Licensed Psychologist and has the following contact phone number (715) 931-0317.

The enumeration date for this NPI number is 2/2/2017 and was last updated on 7/26/2023.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1103TC0700XPsychologistClinical2862-57WISCONSINYes

What is NPI?

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This page was last updated on: 11/21/2025

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