| University Lake School Inc | |
|
4024 Nagawicka Rd Hartland WI 53029-9363 | |
| (262) 501-3255 | |
| (262) 214-0157 |
| Full Name | University Lake School Inc |
|---|---|
| Speciality | Psychologist - School |
| Location | 4024 Nagawicka Rd, Hartland, Wisconsin |
| Authorized Official Name and Position | Melissa Benson (CFO) |
| Authorized Official Contact | 2623676011 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| University Lake School Inc 4024 Nagawicka Rd Hartland WI 53029-9363 Ph: (262) 501-3255 | University Lake School Inc 4024 Nagawicka Rd Hartland WI 53029-9363 Ph: (262) 501-3255 |
| NPI Number | 1386504686 |
|---|---|
| Provider Enumeration Date | 11/18/2025 |
| Last Update Date | 11/18/2025 |
| Certification Date | 11/18/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386504686 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TS0200X | Psychologist - School | (* (Not Available)) | Primary |
| 235Z00000X | Speech-language Pathologist | (* (Not Available)) | Secondary |
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