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Organization
UNIVERSITY LAKE SCHOOL INC
Active
Organization
UNIVERSITY LAKE SCHOOL INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MELISSA BENSON (CFO)
(262) 367-6011
Entity
Organization
Contact information
Practice address
4024 NAGAWICKA RD, HARTLAND, WI 53029-9363
(262) 501-3255
(262) 214-0157
Mailing address
4024 NAGAWICKA RD, HARTLAND, WI 53029-9363
(262) 501-3255
(262) 214-0157
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
—
NULL
103TS0200X
School Psychologist
Primary
—
—
235Z00000X
Speech-Language Pathologist
—
NULL
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
11/18/2025
Last updated
11/18/2025
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