| Kelly Duggan Consultation Services, Llc | |
|
14135 N Cedarburg Rd Mequon WI 53097-1416 | |
| (414) 801-8700 | |
| Not Available |
| Full Name | Kelly Duggan Consultation Services, Llc |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 14135 N Cedarburg Rd, Mequon, Wisconsin |
| Authorized Official Name and Position | Kelly Kay Duggan (CLINICAL PSYCHOLOGIST) |
| Authorized Official Contact | 4148018700 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kelly Duggan Consultation Services, Llc 14135 N Cedarburg Rd Mequon WI 53097-1416 Ph: (414) 801-8700 | Kelly Duggan Consultation Services, Llc 14135 N Cedarburg Rd Mequon WI 53097-1416 Ph: (414) 801-8700 |
| NPI Number | 1992154231 |
|---|---|
| Provider Enumeration Date | 06/07/2016 |
| Last Update Date | 06/07/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992154231 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 2783-57 (Wisconsin) | Primary |
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