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SUBURBAN COUNSELING SERVICES NPI 1760685820


NPI Information

NPI: 1760685820
Provider Name: SUBURBAN COUNSELING SERVICES
Classification: Psychologist - 103TC0700X
Entity Type: Organization

Specialization: Clinical

Address:
1208 HWY 83
HARTLAND, WI
ZIP 53029
Phone: (414) 550-9350
Get Directions

SUBURBAN COUNSELING SERVICES is a clinical psychologist in Hartland, 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. SUBURBAN COUNSELING SERVICES NPI is 1760685820. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1208 HWY 83
HARTLAND, WI
ZIP 53029-313
Phone: (414) 550-9350
Fax: (262) 369-7752

The provider's authorized official is Laura Marie Campbell .
The authorized official title is Owner and has the following contact phone number (414) 550-9350.

The enumeration date for this NPI number is 6/7/2007 and was last updated on 2/24/2010.


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
1103TC0700XPsychologistClinical2243-057WISCONSINYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11889OTHERWISCONSINSTATE CERTIFICATION #:
2000002607OTHERWISCONSINMEDICARE GROUP ID#:

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: 5/5/2024

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