NPI | 1003531005 |
---|---|
Doing Business As | LAKEVIEW PSYCHOLOGICAL ASSOCIATES |
Entity Type | Organization |
Authorized Contact | CALLIE MARIE SCHROEDER Owner/Clinical Psychologist 920-901-8360 |
Organization Subpart ? | No |
Primary Taxonomy | 103T00000X Psychologist |
Enumeration Date | 2022-10-11 |
Last Update Date | 2022-10-11 |