Provider Demographics
NPI:1881406593
Name:WISCONSIN INSTITUTE FOR LEARNING DISABILITIES/DYSLEXIA INC.
Entity type:Organization
Organization Name:WISCONSIN INSTITUTE FOR LEARNING DISABILITIES/DYSLEXIA INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:ERVIN
Authorized Official - Middle Name:ALLEN
Authorized Official - Last Name:CARPENTER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:608-371-9621
Mailing Address - Street 1:811 E WASHINGTON AVE STE 400
Mailing Address - Street 2:
Mailing Address - City:MADISON
Mailing Address - State:WI
Mailing Address - Zip Code:53703-4028
Mailing Address - Country:US
Mailing Address - Phone:608-371-9602
Mailing Address - Fax:
Practice Address - Street 1:811 E WASHINGTON AVE STE 400
Practice Address - Street 2:
Practice Address - City:MADISON
Practice Address - State:WI
Practice Address - Zip Code:53703-4028
Practice Address - Country:US
Practice Address - Phone:608-371-9602
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-01-21
Last Update Date:2025-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Multi-Specialty