| NPI | 1609211960 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHRYN LAPIERRE Psychologist 262-627-0532 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: WI 2666-057) |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: WI 2666-057) |
| 103TA0700X Psychologist, Adult Development & Aging (Licence: WI 2666-057) | |
| 103TB0200X Psychologist, Cognitive & Behavioral (Licence: WI 2666-057) | |
| 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: WI 2666-057) | |
| 103TH0004X Psychologist, Health (Licence: WI 2666-057) | |
| Enumeration Date | 2013-04-30 |
| Last Update Date | 2013-04-30 |