SOUTH STREET CLINIC LLC

Psychologist - Clinical

Active Organization
NPI: 1235128356

Practice Address

416 W SOUTH ST
Oconomowoc, WI 53066

Phone: (262) 567-7673

Specialties

Specialty Code Primary License
Psychologist - Clinical 103TC0700X Yes 1841 (WI)

Frequently Asked Questions

NPI 1235128356 is the National Provider Identifier for SOUTH STREET CLINIC LLC, a Psychologist - Clinical provider located in Oconomowoc, WI. This NPI was enumerated on October 20, 2005.

Quick Facts

NPI
1235128356
Type
Organization
Enumerated
Oct 20, 2005
Last Updated
Aug 22, 2020

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