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:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
Y | 103G00000X | Behavioral Health & Social Service Providers Clinical Neuropsychologist | WI | 45057 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
39063400 | WI | 05 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin