Psych Affiliates INC

NPI #1417605197 in Mequon, Wisconsin

Provider Information

NPI Number: 1417605197
Entity Type: Organization
Organization Name: Psych Affiliates INC
Primary Specialty: Nurse Practitioner - Psychiatric/Mental Health
Enumeration Date: Mar 12, 2022
Last Updated: Feb 5, 2024

Practice Location

Address: 11431 N PORT WASHINGTON RD STE 101B
City: Mequon
State: Wisconsin
ZIP Code: 53092-3463
Phone: (414) 502-7216

Authorized Official

Name: MR. DENNIS LEE KOCHANIK
Title: PRESIDENT
Phone: (414) 502-7216

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Nurse Practitioner	363L00000X
Nurse Practitioner - Psychiatric/Mental Health — Psychiatric/Mental Health	363LP0808X	Primary

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