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Contact Information

DANA M BALLEWSKE, PSY D
2108 63RD ST
KENOSHA, WI53143-4454
 Phone: 262-652-2406
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

103TC0700X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for DANA M BALLEWSKE · (Female)

NPI # 1821345372
Status Active
Credentials PSY D
Entity Individual
Enumeration date 08/14/2012
Last updated 03/30/2020 - About 6 years ago
Sole proprietor 1 No
Identifiers
  • WI License # 3646
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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