| NPI | 1538482583 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFF R. WEISHAAR President 715-864-9326 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IL 071007616) |
| Enumeration Date | 2010-03-04 |
| Last Update Date | 2010-03-04 |