Community Psychological Services of Waupun LLC

NPI #1225138126 in Waupun, Wisconsin

Provider Information

NPI Number: 1225138126
Entity Type: Organization
Organization Name: Community Psychological Services of Waupun LLC
Primary Specialty: Clinic/Center - Mental Health (Including Community Mental Health Center)
Enumeration Date: Sep 22, 2006
Last Updated: Aug 22, 2020

Practice Location

Address: 1208 S WATERTOWN ST
City: Waupun
State: Wisconsin
ZIP Code: 53963-2309
Phone: (920) 324-4358

Authorized Official

Name: ROBERT NORMAN DEYOUNG, PH D
Title: PSYCHOLOGIST CO-OWNER
Phone: (920) 324-4358

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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