Individual
DR. JAMES W HARASYMIW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSYD
Contact information
Practice address
W243S7630 EVERGREEN DR, MUKWONAGO, WI 53149
(262) 662-1116
(262) 662-1118
Mailing address
W236S7050 BIG BEND DR, STE 2, BIG BEND, WI 53103-9497
(262) 662-1116
(262) 662-1118
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
1625
WI
103TA0400X
Addiction (Substance Use Disorder) Psychologist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
39192500
—
WI
Enumeration date
10/19/2005
Last updated
04/07/2011
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