Organization
H.S. PSYCHOLOGICAL SERVICES SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES W HARASYMIW PSYD (PRESIDENT)
(262) 662-1116
Entity
Organization
Contact information
Practice address
W243S7630 EVERGREEN DR, MUKWONAGO, WI 53149-8547
(262) 662-1116
(262) 662-1118
Mailing address
W243S7630 EVERGREEN DR, MUKWONAGO, WI 53149-8547
(262) 662-1116
(262) 662-1118
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
1625-057
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
39192500
—
WI
Enumeration date
05/03/2007
Last updated
03/24/2008
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