South Street Clinic Llc is a Clinical - Psychology Clinic in Oconomowoc, Wisconsin. It is located at 416 W South St, Oconomowoc, WI and its contact number is 262-567-7673. The authorized person for South Street Clinic Llc is Dr. Anne Alexa Weston
who is Clinic Owner of the clinic and his/her contact number is 262-567-7673. The primary license number for South Street Clinic Llc is 1841 (Clinical) in Wisconsin. South Street Clinic Llc Clinic has mental health professionals specialized in the diagnosis and psychological treatment of mental, behavioral and emotional illnesses, including obsessive-compulsive disorder (OCD). Psychologists main focus is on diagnosing and treating mental, emotional, and behavioral disorders. Some of the common disorders that psychologists can treat are learning disabilities, substance abuse, depression, anxiety, and eating disorders.
Complete Clinic Profile:
South Street Clinic Llc Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
Name:
South Street Clinic Llc
Specialization:
Clinical Psychology
Clinic Address:
416 W South St, Oconomowoc, Wisconsin, 53066-2755
Phone:
262-567-7673
Fax:
262-567-3097
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. Anne Alexa Weston
Position:
Clinic Owner
Contact Number:
262-567-7673
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 South Street Clinic Llc clinic are as mentioned below.
NPI Number:
1235128356
NPI Enumeration Date:
20 Oct, 2005
NPI Last Update On:
22 Aug, 2020
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for South Street Clinic Llc are as mentioned below.
Specialization
License Number
State
Status
Clinical
1841
Wisconsin
Primary
Other Medical Identifiers:
Other legacy medical identifiers of the clinic such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
42217900
Medicaid
Wisconsin
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
South Street Clinic Llc 416 W South St, Oconomowoc, Wisconsin
Zip:
53066-2755
Phone Number:
262-567-7673
Fax Number:
262-567-3097
Patients can reach South Street Clinic Llc at 416 W South St, Oconomowoc, Wisconsin or can call to book an appointment on 262-567-7673. *Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 November, 2024.