Midway Clinical Neuropsychologic Institute and Children's Wellness Fou
Midway Clinical Neuropsychologic Institute and Children's Wellness Fou provides Clinical Neuropsychologist services in Kenosha, Wisconsin. Registered with an NPI since 2019.
- In the registry since
- 2019
- Specialties on file
- 2
Practice location Address checks out
1024 60th St Ste 5Kenosha, WI 53140-4099
Phone: (262) 455-2919
Fax: (262) 455-2919
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Psychologist (primary) | Taxonomy 103T00000X |
|---|---|
| Clinical Neuropsychologist | Taxonomy 103G00000X |
Record details
| NPI number | 1578023156 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Shellie Locke — Chief Executive Officer · (262) 455-2919 |
| NPI enumerated | March 21, 2019 |
| Last updated in NPPES | March 21, 2019 |
| Mailing address | P.O. Box 684, Kenosha, WI 53141-0684 |
Other providers in Kenosha
-
Dr. Teresa Deer, PHD
5017 Green Bay Rd Ste 130, Kenosha, WI 53144-1782 · (262) 672-1334
-
Dr. Shellie Dee Locke, PHD
9020 15th Ave, Kenosha, WI 53143-6803 · (708) 224-7442
-
June Restrepo, PHD
5017 Green Bay Rd Ste 130, Kenosha, WI 53144-1782 · (262) 672-1334