Psychological Evaluation & Consulting Services

NPI #1154629483 in Mequon, Wisconsin

Provider Information

NPI Number: 1154629483
Entity Type: Organization
Organization Name: Psychological Evaluation & Consulting Services
Primary Specialty: Clinic/Center - Mental Health (Including Community Mental Health Center)
Enumeration Date: Mar 10, 2011
Last Updated: Feb 14, 2013

Practice Location

Address: 1322 W TOWNE SQUARE RD
City: Mequon
State: Wisconsin
ZIP Code: 53092-5046
Phone: (262) 242-3810

Authorized Official

Name: MR. LAWRENCE A KANE III, MSED
Title: OWNER
Phone: (262) 242-3810

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Mental Health (Including Community Mental Health Center) — Mental Health (Including Community Mental Health Center)	261QM0801X	Primary

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