Search › Wisconsin › 101YA0400X
Ivy Phelps, LCSW, CSAC
NPI 1720509292 · on the registry since 2017
Practice
- Address
- 2814 S 108th St
West Allis, WI 53227 - Phone
- (414) 885-3525
- Organisation at this address
- Premier Care Of Wisconsin, Llc.
Premier Care Of Wisconsin, Llc.Inferred from a shared address, not stated in the registry. - Clinicians at this address
- 67
Additional practice sites
- 1610 Miller Park Way, West Milwaukee, WI
Registry record
- Primary taxonomy
- 101YA0400X
101YA0400X
- Licence states on file
- WI
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2022-07-21
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Wisconsin