is a Psychologist in Madison, Wisconsin. practices all healthcare services and medical treatments related to Psychologist. The NPI Number for is 1992855134. The last update date is .
's current location address is 5534 Medical Cir, Madison, Wisconsin. You can contact this provider via phone number 6082744273 and fax number 6082745546. The mailing address for is 5534 Medical Cir, Madison, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | |
|---|---|
| Address | 5534 Medical Cir, Madison, Wisconsin |
| Phone Number | 6082744273 |
| Fax Number | 6082745546 |
| Sole Proprietor | -- |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1992855134 |
|---|---|
| Provider Enumeration Date | |
| Last Updated Date |
Provider Mailing Address Detail
| Address | 5534 Medical Cir |
|---|---|
| City | Madison |
| State | Wisconsin (WI) |
| Post Code | 537191202 |
| Phone Number | 6082744273 |
| Fax Number | 6082745546 |
Provider's Primary Taxonomy Detail
| Speciality | Psychologist |
|---|---|
| Taxonomy | 103T00000X |
| Licence No | 494-057 |
|
Definition: A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and proce |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 39065500 | WI | -- |
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