| Lawrence E Currie Phd Sc | |
|
6815 W Capitol Dr Ste 203 Milwaukee WI 53216-2056 | |
| (414) 354-3809 | |
| Not Available |
| Full Name | Lawrence E Currie Phd Sc |
|---|---|
| Speciality | Psychologist |
| Location | 6815 W Capitol Dr Ste 203, Milwaukee, Wisconsin |
| Authorized Official Name and Position | Lawrence E Currie (PRESIDENT OWNER) |
| Authorized Official Contact | 4143543089 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lawrence E Currie Phd Sc Po Box 240164 Milwaukee WI 53224-9008 Ph: (414) 354-3089 | Lawrence E Currie Phd Sc 6815 W Capitol Dr Ste 203 Milwaukee WI 53216-2056 Ph: (414) 354-3809 |
| NPI Number | 1194835140 |
|---|---|
| Provider Enumeration Date | 08/30/2006 |
| Last Update Date | 12/17/2020 |
| Certification Date | 12/17/2020 |
| Medicare PECOS PAC ID | 7315032109 |
|---|---|
| Medicare Enrollment ID | O20071009000652 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194835140 | NPI | - | NPPES |
| 344423582E01 | Other | WI | BLUE CROSS BLUE SHIELD |
| 39057000 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | 531057 (Wisconsin) | Secondary |
| 103TC0700X | Psychologist - Clinical | 531057 (Wisconsin) | Primary |
| Provider Name | Lawrence E Currie |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1093723686 PECOS PAC ID: 7517052301 Enrollment ID: I20071009000629 |
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