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

Northern Wisconsin Geriatric Psychological Services, SC

Organization Clinical Psychologist · NPI 1578955134

Northern Wisconsin Geriatric Psychological Services, SC is a Clinical Psychologist in Plymouth, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2015.

Licensed in
WI
In the registry since
2015

Practice location Address checks out

859 Chaplin Ct
Plymouth, WI 53073-1012
Phone: (920) 893-8000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence 2322-57 (WI)

Record details

NPI number1578955134
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Constance Woythal — Owner · (920) 893-8000
NPI enumeratedFebruary 19, 2015
Last updated in NPPESFebruary 19, 2015
Mailing addressPo Box 750834, Forest Hills, NY 11375-0834

Other providers in Plymouth