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General NPI Number Information
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NPI Number | 1639647597
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Entity Type | Organization
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Legal Business Name | THERAYOLOGY, LLC
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Dates
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Enumeration Date | 11/08/2018
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Last Update Date | 07/03/2025
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Provider Practice Location Address
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Address Line | 4369 S HOWELL AVE STE 306
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City | MILWAUKEE
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State | WI
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Zip | 53207-5098
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Country | US
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Telephone | 414-999-0102
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Fax | 262-236-7701
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Provider Business Mailing Address
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Address Line | 12517 N CENTER DR
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City | MEQUON
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State | WI
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Zip | 53092-2602
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Country | US
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Telephone | 414-795-7112
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Fax | 262-236-7701
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Authorized Official
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Title or Position | PSYCHOTHERAPIST
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Name | CYNTHIA FRANZOLIN
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Credential | LPC
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Telephone | 414-795-7112
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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Taxonomy #3
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number |
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License Number State |
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