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

CCP CLINIC, LLC

Active Organization

CCP CLINIC, LLC is a Clinical Psychologist organization located in DE PERE, Wisconsin. NPI 1396431714 is currently active in the NPPES registry. Verify at CMS.

Clinical Psychologist · DE PERE, WI

Registration Details

NPI Number
1396431714
Provider Type
Organization
NPI Issued
Apr 18, 2023 (3.3038596767769 yrs)
Last Updated
Apr 3, 2025

Practice Information

Address
3301 PACKERLAND DR STE B
DE PERE, WI, 541159533
Browse WI providers · Browse ZIP 54115
Phone
9202349240
Primary Specialty
Clinical Psychologist
103TC0700X
Additional Specialty
Clinical Social Worker
Additional Specialty
Clinical Psychologist
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.