Organization · Type 2 NPI

Lakefront Wellness Center, SC

Clinical Psychologist · Pewaukee, WI

NPI number 1316024847 Active

Practice location

161 W Wisconsin Ave Ste 2B
Pewaukee, WI 53072-3468

Fax (262) 695-8879

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800X2437 (WI)
Psychologist 103T00000X2437 (WI)
Clinical Psychologist Primary 103TC0700X2437 (WI)
Clinical Social Worker 1041C0700X2437 (WI)
Marriage & Family Therapist 106H00000X2437 (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…

2 other providers at this address

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About NPI 1316024847

Lakefront Wellness Center, SC's National Provider Identifier is 1316024847, issued on Nov 1, 2006. The primary taxonomy on file is Clinical Psychologist (103TC0700X), and the practice location is in Pewaukee, WI. The record was last updated on Aug 27, 2013.