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

South Street Clinic LLC

Organization Clinical Psychologist · NPI 1235128356

South Street Clinic LLC is a Clinical Psychologist in Oconomowoc, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2005.

Licensed in
WI
In the registry since
2005
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

416 W South St
Oconomowoc, WI 53066-2755
Phone: (262) 567-7673
Fax: (262) 567-3097
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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 1841 (WI)

Record details

NPI number1235128356
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Anne Weston — Clinic Owner · (262) 567-7673
NPI enumeratedOctober 20, 2005
Last updated in NPPESAugust 22, 2020
Mailing address416 W South St, Oconomowoc, WI 53066-2755

Other providers in Oconomowoc