| NPI | 1831301464 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GERELYN A CARDUCCI Psychiatrist Co Owner 920-769-0152 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Enumeration Date | 2007-05-04 |
| Last Update Date | 2020-08-22 |