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Contact Information

CENTER FOR ANXIETY DISORDERS
436 SUMMIT AVE
OCONOMOWOC, WI53066-3749
 Phone: 262-719-3825
 Fax: 262-567-5560
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

103TC0700X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for CENTER FOR ANXIETY DISORDERS

NPI Number 1881716108
LBN Legal business name CENTER FOR ANXIETY DISORDERS
Authorized official BRADLEY RIEMANN - (DIRECTOR)
Entity Organization
Organization subpart 1 No
Enumeration date 04/06/2007
Last updated 07/13/2007 - About 19 years ago
Identifiers
WI License # 1853
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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