| Suburban Counseling Services | |
|
1208 Hwy 83 Hartland WI 53029-8313 | |
| (414) 550-9350 | |
| (262) 369-7752 |
| Full Name | Suburban Counseling Services |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 1208 Hwy 83, Hartland, Wisconsin |
| Authorized Official Name and Position | Laura Marie Campbell (OWNER) |
| Authorized Official Contact | 4145509350 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Suburban Counseling Services 1208 Hwy 83 Hartland WI 53029-8313 Ph: (414) 550-9350 | Suburban Counseling Services 1208 Hwy 83 Hartland WI 53029-8313 Ph: (414) 550-9350 |
| NPI Number | 1760685820 |
|---|---|
| Provider Enumeration Date | 06/07/2007 |
| Last Update Date | 02/24/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760685820 | NPI | - | NPPES |
| 1889 | Other | WI | STATE CERTIFICATION #: |
| 000002607 | Other | WI | MEDICARE GROUP ID#: |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 2243-057 (Wisconsin) | Primary |
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