Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

South Street Clinic LLC

Organization Clinical Psychologist · NPI 1235128356

South Street Clinic LLC provides Clinical Psychologist services in Oconomowoc, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2005.

Licensed in
WI
In the registry since
2005
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

416 W South St
Oconomowoc, WI 53066-2755
Phone: (262) 567-7673
Fax: (262) 567-3097
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence 1841 (WI)

Record details

NPI number1235128356
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Anne Weston — Clinic Owner · (262) 567-7673
NPI enumeratedOctober 20, 2005
Last updated in NPPESAugust 22, 2020
Mailing address416 W South St, Oconomowoc, WI 53066-2755

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