| NPI | 1902093834 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIM LAUREE SCHUTT-CHARDON Director Of Billing 608-288-9040 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical |
| Enumeration Date | 2007-09-25 |
| Last Update Date | 2007-09-25 |