| NPI | 1477756179 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANELLE W. ALLEN Clinical Psychologist 608-513-0399 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: WI 1930-057) |
| Enumeration Date | 2007-06-08 |
| Last Update Date | 2020-08-22 |