| NPI | 1760611396 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS S ALTEPETER Psychologist 920-385-7273 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: WI 1320-057) |
| Enumeration Date | 2009-07-02 |
| Last Update Date | 2009-07-06 |