| NPI | 1982063897 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREG WILLIAM ANDERSON Clinical Psychologist 715-497-7230 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: WI 3349-57) |
| Enumeration Date | 2016-02-19 |
| Last Update Date | 2016-09-05 |