| Organization Name: | FAMILY CARE PSYCHOLOGICAL SERVICES |
| NPI Number: | 1033215025 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | RAYMOND LUECK (OWNER/ADMINISTRATOR) |
| Mailing Address: | 2500 N Mayfair Rd Ste 560 Wauwatosa |
| State: | WI US |
| Postal Code: | 532261415 |
| Phone Number: | 4147715002 |
| Fax Number: | 4147712928 |
| NPI Enumeration Date: | 09/16/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TP2701X |
| License Number: | HFS 61.91 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WI |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Group Psychotherapy |
| Taxonomy Definition: | |