location
search-icon
institution
South Street Clinic Llc
Clinical Psychologist in Oconomowoc, Wisconsin
NPI 1235128356

South Street Clinic Llc is a Clinical Psychologist based in Oconomowoc, WI and is specialized in Clinical. South Street Clinic Llc practices in Oconomowoc, WI. The NPI Number for South Street Clinic Llc is 1235128356 and holds a License No. 1841 (Wisconsin).

The current practice location address for South Street Clinic Llc is 416 W South St, Oconomowoc, WI and can be reached out via phone at 262-567-7673 and via fax at 262-567-3097.

Location: 416 W South St, Oconomowoc, WI, 53066-2755
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1235128356
Provider Name
South Street Clinic Llc
Credential
Provider Entity Type
Organization
Address
416 W South St, Oconomowoc, WI, 53066-2755
Phone Number
262-567-7673
Fax Number
262-567-3097
Provider Enumeration Date
10/20/2005
Last Update Date
03/08/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
42217900 05 WI
institution
Provider Business Practice Location Address Details
Address
416 W South St
City
Oconomowoc
State
Wisconsin
Zip
53066-2755
Phone Number
262-567-7673
Fax Number
262-567-3097
person
Provider Business Mailing Address Details
Address
416 W South St
City
Oconomowoc
State
Wisconsin
Zip
53066-2755
Phone Number
262-567-7673
Fax Number
262-567-3097
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Psychologist
Speciality
Clinical
Taxonomy
103TC0700X
License No.
1841 (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.
semi-verified symbol
Badge

Use the following badge on your website to showcase your NPI number and verified status. In a field with over 8 million healthcare providers in the United States, it is important to establish your identity clearly. Displaying this badge signifies that your information is both accurate and up-to-date.

Similar Doctors in Oconomowoc, Wisconsin:

person
Joan Carol Russo
NPI 1225037575
Clinical Psychologist
W340N6509 Breezy Point Rd,
OCONOMOWOC, WI
53066-5132
262-490-9114
More