| NPI | 1104184142 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HEATHER DOESCHER HURD Licensed Psychologist 608-228-0750 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: WI 2890-057) |
| Enumeration Date | 2012-04-27 |
| Last Update Date | 2012-04-27 |