Organization
LAKE GENEVA PSYCHOLOGY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AMY SOSA PSY.D., CEDS (DIRECTOR/OWNER)
(305) 989-9030
Entity
Organization
Contact information
Practice address
630 KENOSHA ST, WALWORTH, WI 53184-9505
(305) 989-9030
Mailing address
N1330 OVERLAND LN, LAKE GENEVA, WI 53147-7302
(305) 989-9030
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
—
Other
Enumeration date
04/30/2020
Last updated
04/30/2020
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