NPI | 1619156502 |
---|---|
Doing Business As | CLINICAL PSYCHOLOGY ASSOCIATES |
Entity Type | Organization |
Authorized Contact | DAVID WILLIAM THOMPSON Clinic Director/Owner 262-763-9191 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Additional Taxonomies | 103T00000X Psychologist |
103TC0700X Psychologist, Clinical (Licence: WI 1588) | |
Enumeration Date | 2007-10-29 |
Last Update Date | 2021-04-22 |