| H.s. Psychological Services Sc | |
|
W243s7630 Evergreen Dr Mukwonago WI 53149-8547 | |
| (262) 662-1116 | |
| (262) 662-1118 |
| Full Name | H.s. Psychological Services Sc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | W243s7630 Evergreen Dr, Mukwonago, Wisconsin |
| Authorized Official Name and Position | James W Harasymiw (PRESIDENT) |
| Authorized Official Contact | 2626621116 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| H.s. Psychological Services Sc W243s7630 Evergreen Dr Mukwonago WI 53149-8547 Ph: (262) 662-1116 | H.s. Psychological Services Sc W243s7630 Evergreen Dr Mukwonago WI 53149-8547 Ph: (262) 662-1116 |
| NPI Number | 1316169931 |
|---|---|
| Provider Enumeration Date | 05/03/2007 |
| Last Update Date | 03/24/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316169931 | NPI | - | NPPES |
| 39192500 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 1625-057 (Wisconsin) | Primary |
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