Individual
YIXING SONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
777 N JEFFERSON ST STE 408, MILWAUKEE, WI 53202-3875
(414) 368-0257
Mailing address
N62W14355 ROLLING RIDGE DR, MENOMONEE FALLS, WI 53051-5863
(414) 368-0257
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
103T00000X
Psychologist
Primary
552857
WI
Other
Enumeration date
09/20/2017
Last updated
05/21/2026
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