Summit Psychology Clinic Sc

LBN: Summit Psychology Clinic Sc
Summit Psychology Clinic Sc is an health care organization with primary practice located at 933 N Mayfair Rd Ste 303, Wauwatosa WI 53226. The organization recently has only one registered license in Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center), which is considered as the primary health care specialty. Summit Psychology Clinic Sc can be contacted via phone (414) 258-8488, or through Herzog, Jeanne Marie via phone (414) 258-8488.

Contact Information

Primary practice address
933 N Mayfair Rd Ste 303 Wauwatosa WI 53226
Phone: (414) 258-8488
Fax: (414) 258-8838
Website:
Map and Directions
Authorized official contact:
Name: Herzog, Jeanne Marie PHD
Phone: (414) 258-8488

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) 261QM0801X

Profile Details

NPI number 1073722211
LBN Legal business name Summit Psychology Clinic Sc
DBA Doing business as
Authorized official Herzog, Jeanne Marie PHD
Entity Organization
Organization subpart 1 No
Enumeration date May 22nd, 2007
Last updated Aug 22nd, 2020 - about 4 years ago

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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