is a Clinical Neuropsychologist in Madison, Wisconsin. practices all healthcare services and medical treatments related to Clinical Neuropsychologist. The NPI Number for is 1285784348. The last update date is .
's current location address is 1313 Fish Hatchery Rd, Madison, Wisconsin. You can contact this provider via phone number 6082528000. The mailing address for is 1313 Fish Hatchery Rd, Madison, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | |
|---|---|
| Address | 1313 Fish Hatchery Rd, Madison, Wisconsin |
| Phone Number | 6082528000 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1285784348 |
|---|---|
| Provider Enumeration Date | |
| Last Updated Date |
Provider Mailing Address Detail
| Address | 1313 Fish Hatchery Rd |
|---|---|
| City | Madison |
| State | Wisconsin (WI) |
| Post Code | 537151911 |
| Phone Number | 6082528000 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical Neuropsychologist |
|---|---|
| Taxonomy | 103G00000X |
| Licence No | 3283-57 |
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Definition: A clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing th |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1285784348 | WI | -- |
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