Raszkiewicz, Stephanie R
Raszkiewicz, Stephanie R is an sole proprietor health care provider with primary practice located at 316 5Th St Ste 2 , Racine WI 53403-4606. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Psychologist. Behavioral Health & Social Service Providers / Psychologist is her primary health care specialty. Raszkiewicz, Stephanie R can be contacted via phone (262) 308-8085.Contact Information
Primary practice address
316 5Th St Ste 2
Racine WI 53403-4606
Phone: (262) 308-8085
Fax: (262) 364-3679
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 15310-132 | Wisconsin |
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | 3002-57 | Wisconsin |
Profile Details
| NPI number | 1952577629 |
|---|---|
| LBN Legal business name | Raszkiewicz, Stephanie R |
| Credentials | PHD, CSAC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 2nd, 2008 |
| Last updated | Jan 26th, 2023 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1952577629 | NPPES |
| Wisconsin | MEDICAID | 40968000 |
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