Sun Prairie Psychological Services
NPI #1306991682 in Sun Prairie, Wisconsin
Provider Information
- NPI Number
- 1306991682
- Entity Type
- Organization
- Organization Name
- Sun Prairie Psychological Services
- Primary Specialty
- Psychologist - Clinical
- Enumeration Date
- Jan 24, 2007
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 705 W MAIN ST
- Address 2
- SUITE 3
- City
- Sun Prairie
- State
- Wisconsin
- ZIP Code
- 53590-2849
- Phone
- (608) 825-6663
Authorized Official
- Name
- DR. LAWRENCE JAMES STAVA, PH.D.
- Title
- PARTNER
- Phone
- (608) 825-6663
Specialties & Taxonomy Codes
| Specialty |
|---|
| Psychologist - Clinical — Clinical |
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