| NPI | 1396083168 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RENEE D. MCDEVITT Office Manager 608-663-5926 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Enumeration Date | 2013-01-29 |
| Last Update Date | 2013-01-29 |