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Psychiatric Services Of Racine, Llp
Prescribing (Medical) Psychologist in Sturtevant, Wisconsin
NPI 1699791988

Psychiatric Services Of Racine, Llp is a Prescribing (Medical) Psychologist based in Sturtevant, WI and is specialized in Prescribing (Medical). Psychiatric Services Of Racine, Llp practices in Sturtevant, WI. The NPI Number for Psychiatric Services Of Racine, Llp is 1699791988 and holds a License No. 1757 (Wisconsin).

The current practice location address for Psychiatric Services Of Racine, Llp is 8700 Durand Ave Ste 600, Sturtevant, WI and can be reached out via phone at 262-635-5520 and via fax at 262-635-5530.

Location: 8700 Durand Ave Ste 600, Sturtevant, WI, 53177-2096
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1699791988
Provider Name
Psychiatric Services Of Racine, Llp
Credential
Provider Entity Type
Organization
Address
8700 Durand Ave Ste 600, Sturtevant, WI, 53177-2096
Phone Number
262-635-5520
Fax Number
262-635-5530
Provider Enumeration Date
07/14/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
42166000 05 WI
institution
Provider Business Practice Location Address Details
Address
8700 Durand Ave Ste 600
City
Sturtevant
State
Wisconsin
Zip
53177-2096
Phone Number
262-635-5520
Fax Number
262-635-5530
person
Provider Business Mailing Address Details
Address
8700 Durand Ave Ste 600
City
Sturtevant
State
Wisconsin
Zip
53177-2096
Phone Number
262-635-5520
Fax Number
262-635-5530
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Psychologist
Speciality
Prescribing (Medical)
Taxonomy
103TP0016X
License No.
1757 (Wisconsin)
Definition
A licensed, doctoral-level psychologist authorized to prescribe and has undergone specialized education and training in preparation for prescriptive practice and has passed an examination accepted by the state board of psychology relevant to establishing competence for prescribing, and has received from the state board of psychology a current certificate granting prescriptive authority, which has not been revoked or suspended.
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