Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Lake Geneva Psychology, Inc

Organization Clinical Psychologist · NPI 1972124980

Lake Geneva Psychology, Inc is a Clinical Psychologist in Walworth, Wisconsin. Registered with an NPI since 2020.

In the registry since
2020
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

630 Kenosha St
Walworth, WI 53184-9505
Phone: (305) 989-9030
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X

Record details

NPI number1972124980
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Amy Sosa — Director/Owner · (305) 989-9030
NPI enumeratedApril 30, 2020
Last updated in NPPESApril 30, 2020
Certification dateApril 30, 2020
Mailing addressN1330 Overland Ln, Lake Geneva, WI 53147-7302