Midway Clinical Neuropsychologic Institute And Children's Wellness Fou
Counselor Clinic
1024 60th Street, Suite 5, Kenosha
Wisconsin, 53140-4099
262-455-2919 262-455-2919
Maps & DirectionsMidway Clinical Neuropsychologic Institute And Children's Wellness Fou is a Counselor Clinic in Kenosha, Wisconsin. It is located at 1024 60th Street, Suite 5, Kenosha, WI and its contact number is 262-455-2919. The authorized person for Midway Clinical Neuropsychologic Institute And Children's Wellness Fou is Dr. Shellie D. Locke
who is Chief Executive Officer of the clinic and his/her contact number is 262-455-2919.
Midway Clinical Neuropsychologic Institute And Children's Wellness Fou Clinic has individuals who are licensure in clinical psychology and has done specialized training or board certification in neuropsychology who practices or adheres to the principles of neuropsychology. Neuropsychology is a specialty within the field of psychology focusing primarily on neurobehavioral functioning.
Complete Clinic Profile:
Midway Clinical Neuropsychologic Institute And Children's Wellness Fou Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
| Name: | Midway Clinical Neuropsychologic Institute And Children's Wellness Fou |
| Specialization: | Clinical Neuropsychologist |
| Clinic Address: | 1024 60th Street, Suite 5, Kenosha,
Wisconsin, 53140-4099 |
| Phone: | 262-455-2919 |
| Fax: | 262-455-2919 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
| Name: | Dr. Shellie D. Locke |
| Position: | Chief Executive Officer |
| Contact Number: | 262-455-2919 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Midway Clinical Neuropsychologic Institute And Children's Wellness Fou clinic are as mentioned below.
| NPI Number: | 1578023156 |
| NPI Enumeration Date: | 21 Mar, 2019 |
| NPI Last Update On: | 21 Mar, 2019 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Midway Clinical Neuropsychologic Institute And Children's Wellness Fou are as mentioned below.
| Specialization | License Number | State | Status | |
| Psychologist | | | Primary | |
| Clinical Neuropsychologist | | | Secondary | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Midway Clinical Neuropsychologic Institute And Children's Wellness Fou
P.o. Box 684,
Kenosha, Wisconsin |
| Zip: | 53141-0684 |
| Phone Number: | 262-455-2919 |
| Fax Number: | 262-455-2919 |
Patients can reach Midway Clinical Neuropsychologic Institute And Children's Wellness Fou at
1024 60th Street, Suite 5, Kenosha, Wisconsin or can
call to book an appointment on 262-455-2919.
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 October, 2025.