Organization
LAWRENCE E CURRIE PHD SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAWRENCE E CURRIE PHD (PRESIDENT OWNER)
(414) 354-3089
Entity
Organization
Contact information
Practice address
6815 W CAPITOL DR STE 203, MILWAUKEE, WI 53216-2056
(414) 354-3809
Mailing address
PO BOX 240164, MILWAUKEE, WI 53224-9008
(414) 354-3089
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
531057
WI
103TC0700X
Clinical Psychologist
Primary
531057
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
344423582E01
BLUE CROSS BLUE SHIELD
WI
05
—
39057000
—
WI
Enumeration date
08/30/2006
Last updated
12/17/2020
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