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Contact Information

ACTUALIZED CLINICAL SERVICES CONSULTING, INC.
820 BRINSMERE DRIVE
ELM GROVE, WI53122
 Phone: 262-993-5427
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

103TC0700X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for ACTUALIZED CLINICAL SERVICES CONSULTING INC · (Female)

NPI Number 1205050903
Status Active
Credentials
Entity Individual
Enumeration date 04/12/2007
Last updated 01/09/2009 - About 17 years ago
Sole proprietor 1 Not specified
Identifiers
  • WV License # 930
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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