Dr. Diane C Garrison
Psychologist Clinical Psychologist Addiction Psychologist (Substance Use Disorder)
325 Forest Grove Dr Suite 201
Pewaukee
, Wisconsin 53072-3793
Dr. Diane C Garrison
Psychologist Clinical Psychologist Addiction Psychologist (Substance Use Disorder)
325 Forest Grove Dr Suite 201
Pewaukee
, Wisconsin 53072-3793
(262) 549-5107
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About
Features
Specialties
- Psychologist
- Addiction Psychologist (Substance Use Disorder)
- Clinical Psychologist
Languages spoken
- English
Location
First Address
- Dr. Diane C Garrison
- 27100 Waubeesee Lake Dr C/o Kristy Laux
- Wind Lake, WI
- Zip : 53185-2053
- Fax : (262) 549-5107
- Phone : (262) 547-9673
Second Address
- Dr. Diane C Garrison
- 325 Forest Grove Dr Suite 201
- Pewaukee, WI
- Zip : 53072-3793
- Fax : (262) 549-5107
- Phone : (262) 547-9673
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 102L00000X | Psychologist | 2274-057 | WI |
| N | 103T00000X | Psychologist | 2274-057 | WI |
| N | 103TA0400X | Addiction Psychologist (Substance Use Disorder) | 2274-057 | WI |
| Y | 103G00000X | Clinical Psychologist | 2274-057 | WI |
| Y | 103TC0700X | Clinical Psychologist | 2274-057 | WI |
National Provider Identifier
| NPI | 1427115716 |
|---|---|
| Provider Name | Dr. Diane C Garrison |
| First Address | Wind Lake, WI 53185-2053 |
| Second Address | Pewaukee, WI 53072-3793 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 03/01/2007 |
| Last Update Date | 18/07/2008 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 39146400 | (05) | WI |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.