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Contact Information

CDL PSYCHOLOGICAL SERVICES, INC.
410 JOHNSON PKWY
HAMMOND, WI54015-9678
 Phone: 715-497-7230
 Fax: 715-600-9041
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

103TC0700X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for CDL PSYCHOLOGICAL SERVICES, INC.

NPI Number 1982063897
LBN Legal business name CDL PSYCHOLOGICAL SERVICES, INC.
Authorized official GREG ANDERSON - (CLINICAL PSYCHOLOGIST)
Entity Organization
Organization subpart 1 No
Enumeration date 02/19/2016
Last updated 09/05/2016 - About 10 years ago
Identifiers
WI License # 3349-57
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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