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General NPI Number Information
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NPI Number | 1891516472
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Entity Type | Organization
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Legal Business Name | MIND MATTERS PSYCHOLOGICAL SERVICES, S.C.
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Dates
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Enumeration Date | 10/17/2024
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Last Update Date | 10/17/2024
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Provider Practice Location Address
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Address Line | 1017 W GLEN OAKS LN STE 167
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City | MEQUON
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State | WI
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Zip | 53092-3317
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Country | US
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Telephone | 414-477-4264
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Fax |
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Provider Business Mailing Address
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Address Line | 319 E CLARENCE ST
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City | MILWAUKEE
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State | WI
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Zip | 53207-1503
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Country | US
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Telephone | 414-477-4264
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Fax |
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Authorized Official
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Title or Position | CO-OWNER/PSYCHOLOGIST
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Name | DR. COLLEEN MARIE DROSDECK
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Credential | PSYD
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Telephone | 414-477-4264
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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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