Organization
CHILD & FAMILY PSYCHOLOGICAL SERVICES CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NIRA SCHERZ-BUSCH MS (OWNER)
(608) 288-1882
Entity
Organization
Contact information
Practice address
437 S YELLOWSTONE DR, SUITE 218, MADISON, WI 53719-2902
(608) 288-1882
(608) 288-1892
Mailing address
437 S YELLOWSTONE DR, SUITE 218, MADISON, WI 53719-2902
(608) 288-1882
(608) 288-1892
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
42123000
—
WI
Enumeration date
03/06/2008
Last updated
03/06/2008
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