| NPI | 1609198027 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAMIAN VRANIAK Licensed Psychologist 715-790-2100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: WI 885) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: WI 4339125) |
| Enumeration Date | 2010-02-26 |
| Last Update Date | 2010-02-26 |