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Contact Information

JAMES W HARASYMIW, PSYD
W243S7630 EVERGREEN DR
MUKWONAGO, WI53149
 Phone: 262-662-1116
 Fax: 262-662-1118
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychologist

103T00000X 62 Psychologist, Clinical
 

Addiction (Substance Use Disorder)

103TA0400X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for JAMES W HARASYMIW · (Male)

NPI # 1750370045
Status Active
Credentials PSYD (Doctor of Psychology)
Entity Individual
Enumeration date 10/19/2005
Last updated 04/07/2011 - About 15 years ago
Sole proprietor 1 Yes
Identifiers
  • WI License # 1625
  • WI Medicaid 39192500
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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