Provider Demographics
NPI:1649038340
Name:ANISE PSYCHOLOGY LLC
Entity type:Organization
Organization Name:ANISE PSYCHOLOGY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL PSYCHOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:NNENNA
Authorized Official - Middle Name:
Authorized Official - Last Name:NWANKWO
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:608-688-6486
Mailing Address - Street 1:6709 RAYMOND RD STE 114
Mailing Address - Street 2:
Mailing Address - City:MADISON
Mailing Address - State:WI
Mailing Address - Zip Code:53719-3943
Mailing Address - Country:US
Mailing Address - Phone:608-688-6486
Mailing Address - Fax:608-403-3760
Practice Address - Street 1:6709 RAYMOND RD STE 114
Practice Address - Street 2:
Practice Address - City:MADISON
Practice Address - State:WI
Practice Address - Zip Code:53719-3943
Practice Address - Country:US
Practice Address - Phone:608-688-6486
Practice Address - Fax:608-403-3760
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-03-08
Last Update Date:2024-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)