1902456569 NPI number — NEUROPSYCHOLOGICAL SERVICES OF SOUTHEASTERN WISCONSIN,LTD

Table of content: (NPI 1902456569)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1902456569 NPI number — NEUROPSYCHOLOGICAL SERVICES OF SOUTHEASTERN WISCONSIN,LTD

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
NEUROPSYCHOLOGICAL SERVICES OF SOUTHEASTERN WISCONSIN,LTD
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1902456569
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
12/03/2020
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1132 S WATERVILLE LAKE RD
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
OCONOMOWOC
Provider Business Mailing Address State Name:
WI
Provider Business Mailing Address Postal Code:
53066-8401
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
262-751-4499
Provider Business Mailing Address Fax Number:
262-303-4161

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
200 S EXECUTIVE DR STE 101
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
BROOKFIELD
Provider Business Practice Location Address State Name:
WI
Provider Business Practice Location Address Postal Code:
53005-4216
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
262-780-1592
Provider Business Practice Location Address Fax Number:
262-303-4161
Provider Enumeration Date:
09/16/2019

Additional Information

Authorized Official

Authorized Official Last Name:
MCMURRAY
Authorized Official First Name:
PAMELA
Authorized Official Middle Name:
Authorized Official Title or Position:
NEUROPSYCHOLOGIST/OWNER
Authorized Official Telephone Number:
262-751-4499

Provider Taxonomy Codes

  • Taxonomy code: 103G00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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