Organization · Type 2 NPI

Lake Geneva Wellness Clinic LLC

Clinical Psychologist · Lake Geneva, WI

NPI number 1003845181 Active

Practice location

750 Veterans Pkwy Unit 100
Lake Geneva, WI 53147-4950

Fax (262) 248-1202

Specialties and licenses

TaxonomyCodeLicense
Clinical Psychologist Primary 103TC0700X811-057 (WI)

Clinical Psychologist: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of discip…

6 other providers at this address

About NPI 1003845181

Lake Geneva Wellness Clinic LLC's National Provider Identifier is 1003845181, issued on Jul 1, 2006. The primary taxonomy on file is Clinical Psychologist (103TC0700X), and the practice location is in Lake Geneva, WI. The record was last updated on Sep 12, 2024.