LYNN A. VICE, PSY.D., S. C.


Address: 2315 N Lake Dr, Suite 820, Milwaukee, WI 53211-4518
Phone: 4142717442

LYNN A. VICE, PSY.D., S. C. (NPI# 1407994700) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1407994700
Entity Type Organization
Organization Name LYNN A. VICE, PSY.D., S. C.
Practice Address 2315 N Lake Dr
Suite 820
Milwaukee
WI 53211-4518
Practice Telephone 4142717442
Practice Fax Number 4142717530
Mailing Telephone 4142717442
Mailing Fax Number 4142717530
Enumeration Date 2007-02-01
Last Update Date 2020-08-22
Authorized Official Name DR. LYNN ANN VICE (PRESIDENT)
Authorized Official Telephone 4142717442
Authorized Official Credential PSY.D.
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103TC0700X Psychologist
Specialization: Clinical
910-057 WI Behavioral Health & Social Service Providers

Office Location

Street Address 2315 N LAKE DR
SUITE 820
City MILWAUKEE
State WI
Zip Code 53211-4518

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NPI Name Taxonomy Address Enumeration
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1114139409 Keirsen Muffler Audiologist 2315 N Lake Dr, Suite 1005, Milwaukee, WI 53211-4518 2007-05-07
1700908902 Lynn A Vice Psyd Sc Psychologist 2315 N Lake Dr, Milwaukee, WI 53211-4518 2007-04-06
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1417086901 Paul R Herzfeld Optometrist 2315 N Lake Dr, Milwaukee, WI 53211-4518 2007-03-02
1295876068 Harry A. Easom Specialist 2315 N Lake Dr, #617, Milwaukee, WI 53211-4518 2007-02-12
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1689733834 Stephen Pallen Spec/Tech, Cardiovascular 2315 N Lake Dr, Suite 703, Milwaukee, WI 53211-4518 2006-12-06
1124187356 Michael Berg Spec/Tech, Cardiovascular 2315 N Lake Dr, Suite 703, Milwaukee, WI 53211-4518 2006-12-06
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NPI Name Taxonomy Address Enumeration
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1255776365 Sarah Elizabeth Brill Social Worker 4433 N Oakland Ave Ste D, Shorewood, WI 53211 2013-05-02
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Taxonomy Information

Taxonomy Code 103TC0700X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Clinical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

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1134575236 Latoya K Williams Psychologist 9235 W Capitol Dr Unit 402, Milwaukee, WI 53222-1567 2016-05-06
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Competitor

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City MILWAUKEE
Zip Code 53211

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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