| NPI | 1558612028 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM BOYD HITCH Owner 920-435-1508 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: WI 994-57) |
| Enumeration Date | 2012-09-25 |
| Last Update Date | 2012-09-25 |