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Contact Information

DIANE C GARRISON, PHD
325 FOREST GROVE DR
SUITE 201
PEWAUKEE, WI53072-3793
 Phone: 262-547-9673
 Fax: 262-549-5107
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

103TC0700X 62 Psychologist, Clinical
 

Addiction (Substance Use Disorder)

103TA0400X 62 Psychologist, Clinical
 

Psychologist

103T00000X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for DIANE C GARRISON · (Female)

NPI Number 1427115716
Status Active
Credentials PHD
Entity Individual
Enumeration date 01/03/2007
Last updated 07/18/2008 - About 18 years ago
Sole proprietor 1 No
Identifiers
  • WI License # 2274-057
  • WI Medicaid 39146400
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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