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North Shore Psychotherapy Associates Iv
Mental Health Clinic/Center (Including Community Mental Health Center) in Glendale, Wisconsin
NPI 1194809574

North Shore Psychotherapy Associates Iv is a Mental Health Clinic/Center (Including Community Mental Health Center) based in Glendale, WI and is specialized in Mental Health (Including Community Mental Health Center). North Shore Psychotherapy Associates Iv practices in Glendale, WI. The NPI Number for North Shore Psychotherapy Associates Iv is 1194809574 and holds a License No. (Wisconsin).

The current practice location address for North Shore Psychotherapy Associates Iv is 5555 N Port Washington Rd Ste 300, Glendale, WI and can be reached out via phone at 414-962-6764 and via fax at 414-962-6765.

Location: 5555 N Port Washington Rd Ste 300, Glendale, WI, 53217-4928
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1194809574
Provider Name
North Shore Psychotherapy Associates Iv
Credential
Provider Entity Type
Organization
Address
5555 N Port Washington Rd Ste 300, Glendale, WI, 53217-4928
Phone Number
414-962-6764
Fax Number
414-962-6765
Provider Enumeration Date
10/24/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
100047128 05 WI
K100345509 01 WI MEDICARE
institution
Provider Business Practice Location Address Details
Address
5555 N Port Washington Rd Ste 300
City
Glendale
State
Wisconsin
Zip
53217-4928
Phone Number
414-962-6764
Fax Number
414-962-6765
person
Provider Business Mailing Address Details
Address
5555 N Port Washington Rd Ste 300
City
Glendale
State
Wisconsin
Zip
53217-4928
Phone Number
414-962-6764
Fax Number
414-962-6765
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Psychologist
Speciality
Clinical
Taxonomy
103TC0700X
License No.
()
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.
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Mental Health (Including Community Mental Health Center)
Taxonomy
261QM0801X
License No.
()
Definition
Definition to come...
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