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Contact Information

IRENE W LIEM, PSYD
3535 30TH AVE STE 203
KENOSHA, WI53144-1632
 Phone: 847-420-8825
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

103TC0700X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for IRENE W LIEM · (Female)

NPI # 1528730744
Status Active
Credentials PSYD (Doctor of Psychology)
Entity Individual
Enumeration date 10/05/2021
Last updated 09/29/2024 - More than a year ago
Sole proprietor 1 No
Identifiers
  • WI License # 5187-57
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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