Provider Demographics
NPI:1215275243
Name:SCHWEBKE, KURT W (PSYD)
Entity type:Individual
Prefix:DR
First Name:KURT
Middle Name:W
Last Name:SCHWEBKE
Suffix:
Gender:M
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:437 S YELLOWSTONE DR
Mailing Address - Street 2:STE 208
Mailing Address - City:MADISON
Mailing Address - State:WI
Mailing Address - Zip Code:53719-2902
Mailing Address - Country:US
Mailing Address - Phone:608-270-1800
Mailing Address - Fax:
Practice Address - Street 1:437 S YELLOWSTONE DR
Practice Address - Street 2:STE 208
Practice Address - City:MADISON
Practice Address - State:WI
Practice Address - Zip Code:53719-2902
Practice Address - Country:US
Practice Address - Phone:608-270-1800
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-01-25
Last Update Date:2013-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI2552-057103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical