Michael J Vitacco PH.D.

NPI 1063653954 - Psychologist - 103TF0200X

NPI Details
NPI 1063653954
Gender Male
Enumeration Date 03/23/2009
Last Updated 03/23/2009
Entity Type Individual
Active Over 9 years ago
Practice Location
301 TROY DR
MADISON WI, 53704-1521, US
Phone (608) 301-1000
Fax
Business Location
301 TROY DR
MADISON WI, 53704-1521, US
Phone (608) 301-1000
Fax
Toxanomy
Taxonomy Code 103TF0200X
License State Wisconsin
License Number 2794-57
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According to our database, Dr. Michael J Vitacco PH.D. NPI is 1063653954, taxonomy code is 103TF0200X and license number is 2794-57, license state is located at Wisconsin. Michael J Vitacco PH.D. physically located at 301 Troy Dr, Madison WI, 53704-1521. NPI Number Michael J Vitacco PH.D. has the Individual type.

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1063653954 NPI number is provided on an as is basis without warranty of any kind. 1063653954 is maintained by the National Plan & Provider Enumeration System. The contents of Michael J Vitacco PH.D. are for informational purposes only.