Calvin Jay Langmade PSY.D.

NPI 1134380967 - Psychologist - 103T00000X

NPI Details
NPI 1134380967
Gender Male
Enumeration Date 06/24/2008
Last Updated 06/24/2008
Entity Type Individual
Active Over 8 years ago
Practice Location
17100 W NORTH AVE
SUITE 202
BROOKFIELD WI, 53005-4436, US
Phone (262) 789-1818
Fax (262) 789-5355
Business Location
17100 W NORTH AVE
SUITE 202
BROOKFIELD WI, 53005-4436, US
Phone (262) 789-1818
Fax (262) 789-5355
Toxanomy
Taxonomy Code 103T00000X
License State Wisconsin
License Number 1054-057
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According to our database, Calvin Jay Langmade PSY.D. NPI is 1134380967, taxonomy code is 103T00000X and license number is 1054-057, license state is located at Wisconsin. Calvin Jay Langmade PSY.D. physically located at 17100 W North Ave, Brookfield WI, 53005-4436. NPI Number Calvin Jay Langmade PSY.D. has the Individual type.

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1134380967 NPI number is provided on an as is basis without warranty of any kind. 1134380967 is maintained by the National Plan & Provider Enumeration System. The contents of Calvin Jay Langmade PSY.D. are for informational purposes only.