J T School District 2 Valid NPI

Organization · Psychologist · White Lake, WI

NPI

1467629907

Type

Organization (Type 2)

Primary specialty

Psychologist

Specialty group

Behavioral Health & Social Service Providers

Taxonomy code

103T00000X

License number

079225 (WI)

Enumerated

2008-05-14

Last updated

2008-05-14