| NPI | 1144433970 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUDY A. EAGER Clinical Psychologist 262-785-6003 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: WI 2442-057) |
| Enumeration Date | 2007-05-08 |
| Last Update Date | 2020-08-22 |