| NPI | 1932145430 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICIA A HUMPHREY Clinic Director 608-242-7160 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| 103G00000X Clinical Neuropsychologist | |
| 103TC0700X Psychologist, Clinical | |
| Enumeration Date | 2006-06-22 |
| Last Update Date | 2022-08-04 |