| NPI | 1366526097 |
|---|---|
| Former Legal Business Name | JOHANSEN & FLEMING PSYCHOLOGICAL SERVICES, SC |
| Entity Type | Organization |
| Authorized Contact | ANN M. FLEMING Owner/Psychotherapist 262-654-8366 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 106H00000X Marriage & Family Therapist | |
| 103T00000X Psychologist | |
| 103TC2200X Psychologist, Clinical Child & Adolescent | |
| Enumeration Date | 2006-10-25 |
| Last Update Date | 2017-02-10 |