Lake Geneva Psychology, Inc.

NPI #1972124980 in Walworth, Wisconsin

Provider Information

NPI Number: 1972124980
Entity Type: Organization
Organization Name: Lake Geneva Psychology, Inc.
Primary Specialty: Psychologist - Clinical
Enumeration Date: Apr 30, 2020
Last Updated: Apr 30, 2020

Practice Location

Address: 630 KENOSHA ST
City: Walworth
State: Wisconsin
ZIP Code: 53184-9505
Phone: (305) 989-9030

Authorized Official

Name: DR. AMY SOSA, PSY.D., CEDS
Title: DIRECTOR/OWNER
Phone: (305) 989-9030

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist - Clinical — Clinical	103TC0700X	Primary

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