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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

KIM L LASECKI, PHD

Active

KIM L LASECKI, PHD is a Child, Clinical Psychologist healthcare provider located in GREEN BAY, Wisconsin. NPI 1235114513 is currently active in the NPPES registry. Verify at CMS.

Child, Clinical Psychologist · GREEN BAY, WI

Registration Details

NPI Number
1235114513
Provider Type
Individual
Gender
Male
NPI Issued
Dec 9, 2005 (20.709357241694 yrs)
Last Updated
Jul 8, 2007
License
2448 (WI)

Practice Information

Address
301 E SAINT JOSEPH ST
GREEN BAY, WI, 543012241
Browse WI providers · Browse ZIP 54301
Phone
9204336073
Primary Specialty
Child, Clinical Psychologist
103TC2200X

Other Child, Clinical Psychologist Providers in GREEN BAY, WI

Name Credential NPI
DR. LISA LIGGINS-CHAMBERS PH.D. 1164793022
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.