Psychiatric & Psychotherapy Clinic L I Newman Md Sc Gen Ptr

Psychology

3601 30th Ave Ste 102, Kenosha
    Wisconsin, 53144-1642

 262-654-0487    262-654-2434 Maps & Directions
Psychiatric & Psychotherapy Clinic L I Newman Md Sc Gen Ptr is a Psychology Clinic in Kenosha, Wisconsin. It is located at 3601 30th Ave Ste 102, Kenosha, WI and its contact number is 262-654-0487. The authorized person for Psychiatric & Psychotherapy Clinic L I Newman Md Sc Gen Ptr is Paul M Defazio who is Owner of the clinic and his/her contact number is 262-654-0487.
Psychiatric & Psychotherapy Clinic L I Newman Md Sc Gen Ptr Clinic is specialized in psychological testing and evaluating or assessing patient's personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning. Accordingly, psychologists performs counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy. Psychologists can diagnose and treat mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability by psycheducational evaluation, therapy, remediation, and consultation.
Complete Clinic Profile:
Psychiatric & Psychotherapy Clinic L I Newman Md Sc Gen Ptr Clinic speciality, address, contact phone number and fax are as below. Patients can call on the below given phone number for appointments.
Name: Psychiatric & Psychotherapy Clinic L I Newman Md Sc Gen Ptr
Specialization: Psychology
Clinic Address:3601 30th Ave Ste 102, Kenosha,
Wisconsin, 53144-1642
Phone:262-654-0487
Fax:262-654-2434
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: Paul M Defazio
Position: Owner
Contact Number: 262-654-0487
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 Psychiatric & Psychotherapy Clinic L I Newman Md Sc Gen Ptr clinic are as mentioned below.
NPI Number: 1932312212
NPI Enumeration Date: 07 May, 2007
NPI Last Update On: 11 Aug, 2011
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Psychiatric & Psychotherapy Clinic L I Newman Md Sc Gen Ptr are as mentioned below.
SpecializationLicense NumberStateStatus
Addiction (Substance Use Disorder) Primary
Addiction (Substance Use Disorder) Secondary
Addiction Medicine Secondary
Other Medical Identifiers:
Other legacy medical identifiers of the clinic such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
IdentifierTypeStateIssuer
42124700MedicaidWisconsin
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address: Psychiatric & Psychotherapy Clinic L I Newman Md Sc Gen Ptr
3601 30th Ave Ste 102,
Kenosha, Wisconsin
Zip: 53144-1642
Phone Number: 262-654-0487
Fax Number: 262-654-2434
Patients can reach Psychiatric & Psychotherapy Clinic L I Newman Md Sc Gen Ptr at 3601 30th Ave Ste 102, Kenosha, Wisconsin or can call to book an appointment on 262-654-0487.
*Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 December, 2024.

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