Psychological Evaluation & Consulting Services

Specialty details in registry · Mequon, WI

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At a glance

1322 W Towne Square Rd, Mequon, WI 53092-5046

NPPES record updated Feb 14, 2013. Public records can lag behind changes at a practice.

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Practice location

1322 W Towne Square Rd
Mequon, WI 53092-5046
Professional details: NPI, taxonomy & registry record
NPI1154629483
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Registry details

Primary taxonomy
Specialty details in registry
Taxonomy code
261QM0801X
Enumeration date
Mar 10, 2011
Record updated
Feb 14, 2013
More registry details
Provider type
Organization · Type 2
Other reported name
<UNAVAIL>

Reported taxonomies and licenses

Specialty details in registry

261QM0801X · Primary

License numbers and credentials are reported to NPPES; HCPList does not independently verify them.

Practice location

1322 W Towne Square Rd
Mequon, WI 53092-5046
Phone
(262) 242-3810
Mailing address
10532 N PORT WASHINGTON RD
STE 1B
MEQUON, WI 530925563
Source: NPPES Source through Oct 18, 2026An NPI does not verify licensure or credentials.

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