Leesa Marie Wiedholz-abbott, PSYD - Psychologist in Kenosha, WI

Leesa Marie Wiedholz-abbott, PSYD is a Psychologist - Clinical based in Kenosha, Wisconsin. Leesa Marie Wiedholz-abbott is licensed to practice in Wisconsin (license number 2352-057) and her current practice location is 3734 7th Ave, Suite 12, Kenosha, Wisconsin. She can be reached at her office (for appointments etc.) via phone at (262) 654-9370.

NPI number for Leesa Marie Wiedholz-abbott is 1952482267 and her current mailing address is 815 Northdale Dr, Racine, Wisconsin. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1952482267.

Contact Information

Leesa Marie Wiedholz-abbott, PSYD
3734 7th Ave, Suite 12,
Kenosha, WI 53140-5525
(262) 654-9370
(262) 654-9379



Healthcare Provider's Profile

Full NameLeesa Marie Wiedholz-abbott
GenderFemale
SpecialityPsychologist - Clinical
Location3734 7th Ave, Kenosha, Wisconsin
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1952482267
  • Provider Enumeration Date: 10/17/2006
  • Last Update Date: 07/08/2007

Medical Identifiers

Medical identifiers for Leesa Marie Wiedholz-abbott such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1952482267NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103TC0700XPsychologist - Clinical 2352-057 (Wisconsin)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Leesa Marie Wiedholz-abbott is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Leesa Marie Wiedholz-abbott, PSYD
815 Northdale Dr,
Racine, WI 53402-2759

Ph: (262) 752-4205
Leesa Marie Wiedholz-abbott, PSYD
3734 7th Ave, Suite 12,
Kenosha, WI 53140-5525

Ph: (262) 654-9370

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› Verified 4 days ago


Psychologist in Kenosha, WI

Melissa A Wingate, PSYD
Psychologist
Medicare: Accepting Medicare Assignments
Practice Location: 10400 75th St, Kenosha, WI 53142
Phone: 262-948-7815    Fax: 262-948-7816
Dr. Michael Matthew Mihajlovic, PSYD
Psychologist
Medicare: Not Enrolled in Medicare
Practice Location: 4536 22nd Ave, Kenosha, WI 53140
Phone: 262-656-0044    Fax: 262-653-2218
Dr. Katherine M Flynn, PSY.D.
Psychologist
Medicare: Accepting Medicare Assignments
Practice Location: 12225 71st St, Kenosha, WI 53142
Phone: 262-948-4780    
Danielle Defreese, PSYD
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Medicare: Accepting Medicare Assignments
Practice Location: 10400 75th St, Kenosha, WI 53142
Phone: 262-948-6839    
David T Marx, PSY.D.
Psychologist
Medicare: Not Enrolled in Medicare
Practice Location: 4536 22nd Ave, Kenosha, WI 53140
Phone: 262-656-0044    Fax: 262-653-2218
Debra Johansen, PHD
Psychologist
Medicare: Not Enrolled in Medicare
Practice Location: 6121 Green Bay Rd, Suite 230, Kenosha, WI 53142
Phone: 262-654-8366    
Dr. Kristin Marie Keeler, PSY.D
Psychologist
Medicare: Not Enrolled in Medicare
Practice Location: 5024 Green Bay Rd, Suite 120, Kenosha, WI 53144
Phone: 262-652-2365    Fax: 262-652-2071

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