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HARVEY I KAUFMAN PHD

Clinical Neuropsychologist

Racine, Wisconsin

Provider NPI: 1972574143

Provider Information:
 HARVEY I KAUFMAN PHD
Gender: M


Practice Location:
3805B SPRING ST SUITE 120 RACINE, WI 53405 US
Tel: 262-631-8550  Fax: 262-631-8557

Business Mailing Address:
3805B SPRING ST SUITE 120 RACINE, WI 53405 US
Tel: 262-631-8550  Fax: 262-631-8557

Entity Type: Individual

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y103G00000XBehavioral Health & Social Service Providers
Clinical Neuropsychologist
WI45057

Other Provider Identifiers:

IssuerNumberStateType
39063400WI05
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin







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