Stacy L Killinger, Phd Llc

LBN: Stacy L Killinger, Phd Llc
Stacy L Killinger, Phd Llc is an health care organization with primary practice located at 6300 Enterprise Ln # 208 , Madison WI 53719-1190. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as the primary health care specialty. Stacy L Killinger, Phd Llc can be contacted via phone (608) 707-9444, or through Killinger, Stacy Lee via phone (608) 707-9444.

Contact Information

Primary practice address
6300 Enterprise Ln # 208 Madison WI 53719-1190
Phone: (608) 707-9444
Fax: (608) 621-3798
Website:
Map and Directions
Authorized official contact:
Name: Killinger, Stacy Lee PHD
Phone: (608) 707-9444

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 3310 Wisconsin

Profile Details

NPI number 1528432739
LBN Legal business name Stacy L Killinger, Phd Llc
DBA Doing business as
Authorized official Killinger, Stacy Lee PHD
Entity Organization
Organization subpart 1 No
Enumeration date Nov 25th, 2015
Last updated Nov 28th, 2023 - about last year

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1528432739 NPPES
Wisconsin MEDICAID 100048496

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