Organization
COMMUNITY PSYCHOLOGICAL SERVICES OF WAUPUN LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT NORMAN DEYOUNG PH D (PSYCHOLOGIST CO-OWNER)
(920) 324-4358
Entity
Organization
Contact information
Practice address
1208 S WATERTOWN ST, WAUPUN, WI 53963-2309
(920) 324-4358
Mailing address
1208 S WATERTOWN ST, WAUPUN, WI 53963-2309
(920) 324-4358
(920) 324-4737
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
1228
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
42127800
—
WI
Enumeration date
09/22/2006
Last updated
08/22/2020
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us