Provider Demographics
NPI:1811932452
Name:KARWACKI, STEPHANIE B (PHD LICENSED PSYCHOL)
Entity type:Individual
Prefix:MS
First Name:STEPHANIE
Middle Name:B
Last Name:KARWACKI
Suffix:
Gender:F
Credentials:PHD LICENSED PSYCHOL
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:9 ODANA CT
Mailing Address - Street 2:SUITE 203 UPLANDS COUNSELING ASSOCIATES
Mailing Address - City:MADISON
Mailing Address - State:WI
Mailing Address - Zip Code:53719-1122
Mailing Address - Country:US
Mailing Address - Phone:608-274-5181
Mailing Address - Fax:608-274-2848
Practice Address - Street 1:9 ODANA COURT
Practice Address - Street 2:SUITE 203 UPLANDS COUNSELING
Practice Address - City:MADISON
Practice Address - State:WI
Practice Address - Zip Code:53719-1122
Practice Address - Country:US
Practice Address - Phone:608-274-5181
Practice Address - Fax:608-274-2848
Is Sole Proprietor?:No
Enumeration Date:2006-06-18
Last Update Date:2010-12-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI1693057103T00000X, 103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
No103T00000XBehavioral Health & Social Service ProvidersPsychologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI39601400Medicaid
WI39601400Medicaid