Organization
A NEW DAY PSYCHOLOGICAL SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BONITA JEAN DEBBAN PH.D. (OWNER)
(262) 567-7900
Entity
Organization
Contact information
Practice address
970 S SILVER LAKE ST, SUITE 103, OCONOMOWOC, WI 53066-3802
(262) 567-7900
(262) 567-7908
Mailing address
970 S SILVER LAKE ST, SUITE 103, OCONOMOWOC, WI 53066-3802
(262) 567-7900
(262) 567-7908
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
2324-057
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
43550000
—
WI
Enumeration date
07/30/2006
Last updated
08/22/2020
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