| NPI | 1972342103 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER LYNN MICHELS Clinical Psychologist 715-322-3581 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical |
| Additional Taxonomies | 103TH0004X Psychologist, Health |
| Enumeration Date | 2024-05-20 |
| Last Update Date | 2024-08-25 |