Psychiatric Services Sc

NPI #1902098957 in Madison, Wisconsin

Provider Information

NPI Number: 1902098957
Entity Type: Organization
Organization Name: Psychiatric Services Sc
Primary Specialty: Psychologist - Clinical
Enumeration Date: Aug 14, 2007
Last Updated: Jul 28, 2014

Practice Location

Address: 2727 MARSHALL CT
City: Madison
State: Wisconsin
ZIP Code: 53705-2255
Phone: (608) 238-9354

Authorized Official

Name: DR. CHARLES JAMES HODULIK, MD
Title: PRESIDENT
Phone: (608) 238-9354

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist - Clinical — Clinical	103TC0700X	Primary
Social Worker - Clinical — Clinical	1041C0700X
Psychiatry & Neurology - Psychiatry — Psychiatry	2084P0800X
Psychologist - Counseling — Counseling	103TC1900X

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