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Organization
NYE PSYCHOTHERAPY
Active
Organization
NYE PSYCHOTHERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STACEY NYE (OWNER)
(414) 218-6773
Entity
Organization
Contact information
Practice address
11345 N PORT WASHINGTON RD, MEQUON, WI 53092-3411
(262) 345-9950
Mailing address
11345 N PORT WASHINGTON RD, MEQUON, WI 53092-3411
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
02/27/2018
Last updated
02/27/2018
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