Provider Demographics
NPI:1760759971
Name:UVS PSYCHOLOGICAL SERVICES LLC
Entity Type:Organization
Organization Name:UVS PSYCHOLOGICAL SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICIAN OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ULIANA
Authorized Official - Middle Name:V
Authorized Official - Last Name:SKIBICKY
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:608-516-1280
Mailing Address - Street 1:6401 ODANA RD
Mailing Address - Street 2:SUITE 12
Mailing Address - City:MADISON
Mailing Address - State:WI
Mailing Address - Zip Code:53719-1126
Mailing Address - Country:US
Mailing Address - Phone:608-516-1280
Mailing Address - Fax:608-274-6522
Practice Address - Street 1:6401 ODANA RD
Practice Address - Street 2:SUITE 12
Practice Address - City:MADISON
Practice Address - State:WI
Practice Address - Zip Code:53719-1126
Practice Address - Country:US
Practice Address - Phone:608-516-1280
Practice Address - Fax:608-274-6522
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-11-17
Last Update Date:2012-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI301357103TC1900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounselingGroup - Single Specialty