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Lake Geneva Wellness Clinic Llc
Clinical Psychologist in Lake Geneva, Wisconsin
NPI 1003845181

Lake Geneva Wellness Clinic Llc is a Clinical Psychologist based in Lake Geneva, WI and is specialized in Clinical. Lake Geneva Wellness Clinic Llc practices in Lake Geneva, WI. The NPI Number for Lake Geneva Wellness Clinic Llc is 1003845181 and holds a License No. 811-057 (Wisconsin).

The current practice location address for Lake Geneva Wellness Clinic Llc is 750 Veterans Pkwy Unit 100, Lake Geneva, WI and can be reached out via phone at 262-248-7942 and via fax at 262-248-1202.

Location: 750 Veterans Pkwy Unit 100, Lake Geneva, WI, 53147-4950
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1003845181
Provider Name
Lake Geneva Wellness Clinic Llc
Credential
Provider Entity Type
Organization
Address
750 Veterans Pkwy Unit 100, Lake Geneva, WI, 53147-4950
Phone Number
262-248-7942
Fax Number
262-248-1202
Provider Enumeration Date
07/01/2006
Last Update Date
10/19/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
42126800 05 WI
institution
Provider Business Practice Location Address Details
Address
750 Veterans Pkwy Unit 100
City
Lake Geneva
State
Wisconsin
Zip
53147-4950
Phone Number
262-248-7942
Fax Number
262-248-1202
person
Provider Business Mailing Address Details
Address
750 Veterans Pkwy Unit 100
City
Lake Geneva
State
Wisconsin
Zip
53147-4950
Phone Number
262-248-7942
Fax Number
262-248-1202
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Psychologist
Speciality
Clinical
Taxonomy
103TC0700X
License No.
811-057 (Wisconsin)
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 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.
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