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Susan F Mickel, MD,PHD
Psychologist in Racine, Wisconsin
NPI 1356441018

Susan F Mickel is a Psychologist based in Racine, WI. Susan F Mickel practices in Racine, WI and has the professional credentials of MD,PHD. The NPI Number for Susan F Mickel is 1356441018 and holds a License No. 28735 (Wisconsin).

The current practice location address for Susan F Mickel is 1717 Taylor Ave, Racine, WI and can be reached out via phone at 262-638-6744 and via fax at 262-638-6540.

Location: 1717 Taylor Ave, Racine, WI, 53403-2405
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1356441018
Provider Name
Susan F Mickel
Credential
MD,PHD
Provider Entity Type
Individual
Gender
Female
Address
1717 Taylor Ave, Racine, WI, 53403-2405
Phone Number
262-638-6744
Fax Number
262-638-6540
Provider Enumeration Date
09/23/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1356441018 05 WI
institution
Provider Business Practice Location Address Details
Address
1717 Taylor Ave
City
Racine
State
Wisconsin
Zip
53403-2405
Phone Number
262-638-6744
Fax Number
262-638-6540
person
Provider Business Mailing Address Details
Address
1717 Taylor Ave
City
Racine
State
Wisconsin
Zip
53403-2405
Phone Number
262-638-6744
Fax Number
262-638-6540
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Psychologist
Speciality
-
Taxonomy
103T00000X
License No.
3113-57 (Wisconsin)
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Psychiatry & Neurology
Speciality
Neurology
Taxonomy
2084N0400X
License No.
28735 (Wisconsin)
Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
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