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Psychiatric & Psychotherapy Clinic L I Newman Md Sc Gen Ptr
Addiction Medicine (Psychiatry & Neurology) Physician in Kenosha, Wisconsin
NPI 1932312212

Psychiatric & Psychotherapy Clinic L I Newman Md Sc Gen Ptr is an Addiction Medicine (Psychiatry & Neurology) Physician based in Kenosha, WI and is specialized in Addiction Medicine. Psychiatric & Psychotherapy Clinic L I Newman Md Sc Gen Ptr practices in Kenosha, WI. The NPI Number for Psychiatric & Psychotherapy Clinic L I Newman Md Sc Gen Ptr is 1932312212 and holds a License No. (Wisconsin).

The current practice location address for Psychiatric & Psychotherapy Clinic L I Newman Md Sc Gen Ptr is 3601 30Th Ave Ste 102, Kenosha, WI and can be reached out via phone at 262-654-0487 and via fax at 262-654-2434.

Location: 3601 30Th Ave Ste 102, Kenosha, WI, 53144-1642
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1932312212
Provider Name
Psychiatric & Psychotherapy Clinic L I Newman Md Sc Gen Ptr
Credential
Provider Entity Type
Organization
Address
3601 30Th Ave Ste 102, Kenosha, WI, 53144-1642
Phone Number
262-654-0487
Fax Number
262-654-2434
Provider Enumeration Date
05/07/2007
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
42124700 05 WI
institution
Provider Business Practice Location Address Details
Address
3601 30Th Ave Ste 102
City
Kenosha
State
Wisconsin
Zip
53144-1642
Phone Number
262-654-0487
Fax Number
262-654-2434
person
Provider Business Mailing Address Details
Address
3601 30Th Ave Ste 102
City
Kenosha
State
Wisconsin
Zip
53144-1642
Phone Number
262-654-0487
Fax Number
262-654-2434
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Psychologist
Speciality
Addiction (Substance Use Disorder)
Taxonomy
103TA0400X
License No.
()
Definition
A psychologist with a proficiency that involves the application of psychological treatment of addiction stemming from the use of alcohol and other psychoactive substances (e.g., nicotine, marijuana, cocaine, heroin) or behavioral addictions (e.g., gambling) with the aim of cessation or reduction of use and/or the amelioration of emotional, behavioral, interpersonal and other problems arising from the addictive behavior.
person
Provider's Taxonomy Details 3
Type
Allopathic & Osteopathic Physicians
Classification
Psychiatry & Neurology
Speciality
Addiction Medicine
Taxonomy
2084A0401X
License No.
()
Definition
A doctor of osteopathy board eligible/certified in the field of Psychiatry by the American Osteopathic Board of Neurology and Psychiatry is able to obtain a Certificate of Added Qualifications in the field of Addiction Medicine
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